| NPI | 1669461752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON OLIVE Chieh Financial Officer 727-521-3645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2020-08-22 |