| NPI | 1235163171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY PERICH Medical Director 727-376-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 865) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2012-05-31 |