| NPI | 1609390459 |
|---|---|
| Doing Business As | MOUNTAIN SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM JAMES TRICOLI Manager 407-947-3080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 24393) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |