| NPI | 1730118555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLINDA B DUNN Administrator 941-833-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: FL 10C0001220) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2012-08-17 |