| NPI | 1508857871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA J WEINKLE President 941-794-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1096) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2012-03-14 |