| NPI | 1598735011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAGMAR WALKER Director 239-454-7544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1236) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2008-12-18 |