| NPI | 1467195057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS ALVAREZ Medical Director 863-385-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2023-11-15 |