| NPI | 1598700676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LYNNE MACDONALD Administrator 772-569-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 859) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2024-06-07 |