| NPI | 1336184027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK F GONZALEZ Administrator 352-377-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 982) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2008-04-01 |