| NPI | 1326045014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GILBERT CONDIT Clinical Director 772-778-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1167) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |