| NPI | 1063775542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANCE T. KAPLAN Owner 954-772-1069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: FL ME 61314) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2016-01-04 |