| NPI | 1265289920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J VICKERS Medical Director 239-449-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |