| NPI | 1295739217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BOLOGNINI Chief Operating Officer 561-659-6632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 14960424) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2020-08-19 |