NPI | 1063701977 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL VICTOR MINOTTY Manager 772-257-8700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1345) |
Enumeration Date | 2011-03-31 |
Last Update Date | 2011-10-03 |