NPI | 1588839609 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICIA PERRINE Administrator 941-782-5439 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1304) |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
261QA1903X Clinic/Center, Ambulatory Surgical | |
Enumeration Date | 2008-04-29 |
Last Update Date | 2025-02-05 |