| NPI | 1740533777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODGER G STRATT Medical Director 954-765-1316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL ME0074811) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |