| NPI | 1578575064 |
|---|---|
| Other Name | AMBULATORY SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DARREN PAYNE Vice President 850-763-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 948) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2014-11-11 |