| NPI | 1770724122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIAN K. SAJAN Owner 407-622-5766 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: FL 1330) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2025-05-12 |