| 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 |