| NPI | 1558618116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOUNDARAPANDIAN BASKAR Managing Member 352-636-3652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2024-10-24 |