| NPI | 1356654610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVAS SEELA Medical Director 407-506-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2016-01-28 |