| NPI | 1619258464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MASON BAUGHAN Chief Financial Officer 321-403-4078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QL0400X Clinic/Center, Lithotripsy |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2012-05-14 |