| NPI | 1285788505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRITZ PHANORD Manager Business Office 954-958-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1081) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |