| NPI | 1740818749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROCK MAGRUDER CEO 407-843-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2021-03-05 |