| NPI | 1184621864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MARK WEINSTOCK Owner/President/Medical Director 727-581-8706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: FL 1162) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2008-03-18 |