| NPI | 1467783688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LALBAHADUR S NAGABHAIRU Medical Director 352-636-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-01-28 |