| 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 |