| NPI | 1336181742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISSA F BAROUDI Medical Director 941-627-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1149) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2013-01-14 |