| NPI | 1053314112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP H ASKINS Administrator 941-924-9282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1147) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2013-04-23 |