| NPI | 1457448912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA PADRON Billing Manager 239-689-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1144) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |