| NPI | 1104233014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER TODD JONES Vice President/Director/Officer 727-281-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2021-10-22 |