| NPI | 1376578393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS C. NOBBE Owner/Administrator 305-821-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1063) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1013) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-01-22 |