| NPI | 1578508875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP BAJAJ Owner 352-536-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1242) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2009-04-10 |