| NPI | 1568408060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH MICHAEL ROSATO Director 772-562-5859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1070) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |