| NPI | 1407812860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FORSTER CEO 772-398-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1168) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2014-04-09 |