NPI | 1174526271 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFF BRUENER Facility Administrator 407-897-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 261QA1903X) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2007-12-10 |