| NPI | 1770528838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN A MCDANIEL Director Of Finance 321-821-7446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL PH13979) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2022-07-05 |