| NPI | 1669218285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS PEFKAROS Medical Director 321-267-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center Ophthalmologic Surgery |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-08-14 |