| NPI | 1720279458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJIV CHANDRA Officer 321-951-7404 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 875000191) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |