| NPI | 1376974097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE DEAN VANDERHOOF Chief Executive Officer 813-505-0790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2015-03-17 |