| NPI | 1174503080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DAUBE Board Chairman 850-522-1930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1222) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2009-08-04 |