| NPI | 1295710317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHNU P REDDY Medical Director 352-401-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1183) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2012-08-21 |