NPI | 1124274493 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK ALLEN EBERBACH President 727-868-4490 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL ME0048142) |
Enumeration Date | 2008-08-18 |
Last Update Date | 2009-03-16 |