| NPI | 1326170036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN A UPDEGRAFF Medical Director 727-822-4287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1171) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2015-09-10 |