| NPI | 1346244845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY DUNCAN CEO 863-683-2428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1038) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2016-03-18 |