| NPI | 1427507987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJ AMBAY President 813-563-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: FL ME109483) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |