| NPI | 1366994675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE A VOLLMER Chief Executive Officer 863-577-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2019-12-13 |