| NPI | 1467405837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD FAMIGLIETTI Administrator 954-312-3507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL pending) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |