| NPI | 1154538544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ALESSANDRA EVETTS Biller 239-593-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL AS14960420) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2015-12-14 |