| NPI | 1417190935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIMMIAH KUMAR CEO 352-861-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1327) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2010-11-17 |