| NPI | 1336514181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEENAKSHI JAIN Owner 727-343-2568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1081) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2015-12-04 |