| NPI | 1386681161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY THOMAS ROWAN President 727-847-0889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL pending) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |