| NPI | 1295983765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES THOMAS SHOUKAS Director 954-981-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 100148) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |