| NPI | 1417903899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M. SCROGGINS Manager 561-630-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1132) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-07-07 |