| NPI | 1093932287 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | BRETT GREENWALD CEO 772-226-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1276) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-07-29 |