| NPI | 1770601866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY C BENJAMIN Medical Director 772-794-4236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1137) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-05-01 |