| NPI | 1417286428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA RUSTIN Chief Administrative Officer 407-708-5383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2018-10-17 |