| NPI | 1649456815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SCOTT DELANGE Owner/Manager 561-776-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 360) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |