| NPI | 1770516338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE FERNANDEZ Administration 850-477-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 768) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2012-02-27 |