NPI | 1144291923 |
---|---|
Doing Business As | UNIVERSITY INTERVENTIONAL CENTER |
Doing Business As | CLEARWAY SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | KACEY A MONTGOMERY Regional Medical Director 850-791-6895 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1241) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2022-05-17 |