| NPI | 1194250878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ARENDT Manager 954-800-7350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL L17000093163) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |