| NPI | 1447920749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA SOLIPACA Group Vice President 267-419-3618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2026-01-08 |