| NPI | 1245654615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT SURYAKANT PATEL Medical Director 757-618-5889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 62929) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2023-01-13 |