| NPI | 1457465403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI FREEMOND Administrator 561-740-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 962) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |