| NPI | 1609026533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK FELIX GONZALEZ Administrator 352-244-0671 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 982) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2022-04-26 |