| NPI | 1578515995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH G RAND Administrator 954-782-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: FL 794) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2021-06-15 |