| NPI | 1558694034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN FITZGERALD President 321-952-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 846) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2010-04-15 |