| NPI | 1629374269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WIGODA Medical Director 954-463-7088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL ME0076810) |
| Enumeration Date | 2011-01-30 |
| Last Update Date | 2011-01-30 |