| NPI | 1306589809 |
|---|---|
| Other Name | CCRM FLORIDA |
| Entity Type | Organization |
| Authorized Contact | DIANE RAVECH Cro 860-305-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QA0006X Clinic/Center, Ambulatory Fertility Facility |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2024-03-29 |