| NPI | 1447575519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK P. TROLICE Physician/Owner 407-672-1106 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL ME78893) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |