| NPI | 1306995063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA O'RYAN Administrator 727-868-9563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: FL 894) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |