| NPI | 1669483137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LEE BAYLOR Administrator 386-672-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 886) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2009-02-19 |