| NPI | 1568994689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M WEINSTOCK Managing Member 727-581-8706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |