| NPI | 1770285876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYLEEN FLORES Chief Administrative Officer 239-592-3879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-03-21 |