| NPI | 1376779561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN LEMAISTRE Authorized Official 954-266-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2024-09-13 |