| NPI | 1154366060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER THOMAS BRILL President/Owner 352-331-7987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL ASC000252) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2009-01-20 |