| NPI | 1770683690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERMIT KNIGHT Administrator 941-492-3958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 951) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |