NPI | 1548254402 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM J MCCORMACK C.E.O. 772-299-5005 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1154) |
Enumeration Date | 2005-09-07 |
Last Update Date | 2009-06-08 |