| NPI | 1265407142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY E BLANCHARD Director Of Operations 239-552-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 946) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2018-03-12 |