| NPI | 1336100189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L MICHAELOS Owner 727-585-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1118) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2012-06-19 |