| NPI | 1548274061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES N MCMANUS CFO 321-749-1446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: FL 1223) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2025-03-30 |