| NPI | 1457189110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANTHONY BAUDO Owner 772-569-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-10-10 |