| NPI | 1356033567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON R MILES Business Manager/Administrator 407-307-7652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |