| NPI | 1710109822 |
|---|---|
| Doing Business As | THE CYPRESS CLUB CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARC ANTHONY PUNTERERI Executive Vice President 843-689-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2018-07-31 |