NPI | 1396747564 |
---|---|
Entity Type | Organization |
Authorized Contact | H. FREDERICK KEIBER Medical Director 863-382-7500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 805) |
Enumeration Date | 2005-06-01 |
Last Update Date | 2020-08-22 |