| NPI | 1386381408 |
|---|---|
| Doing Business As | WELLNESS AVENUE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVIS Chief Operating Officer 813-477-5580 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2023-03-08 |