| NPI | 1043396245 |
|---|---|
| Doing Business As | MEDICAL CENTER CLINIC AMBULATORY SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MARSHALL ANDY POPPLE President 850-474-8724 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: FL 791) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2012-02-13 |