NPI | 1518216076 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN PAUL LANDI Medical Director 239-403-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL OSR853) |
Enumeration Date | 2012-08-30 |
Last Update Date | 2012-08-30 |