| NPI | 1174594584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SEMINER President 321-676-1870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 846) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2008-05-22 |