| NPI | 1073358453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE M GRESHAM Director Of Operations 407-849-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |