| NPI | 1073764106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEN PARM Administrator 407-834-7776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 945) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |