NPI | 1225199482 |
---|---|
Entity Type | Organization |
Authorized Contact | RICK PALMON Medical Director 239-768-0006 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1279) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2008-03-03 |