| NPI | 1265484851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE MARY HUSSAMY Administrator 772-778-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1121) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2011-11-09 |