| NPI | 1194935577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA DANNA Authorized Official 727-639-3890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 24172) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-08-25 |