| NPI | 1205809795 |
|---|---|
| Doing Business As | OCEAN SURGICAL PAVILION, INC. |
| Entity Type | Organization |
| Authorized Contact | PHILLIP CLENDENIN Chief Manager Of LLC 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ none required) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2023-09-07 |