| NPI | 1548274061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES N MCMANUS CFO 321-722-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1223) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-09-06 |