| NPI | 1124186663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY ROBERT DENNISON President 813-873-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2011-12-13 |