| NPI | 1659360303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SWENCKI Authorized Official 941-213-1447 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2025-09-03 |