| NPI | 1134202740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY S. WALLSHEIN President 561-689-7255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 921) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2018-10-04 |