| NPI | 1770787806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT MONTELIONE Managing Director 954-255-6034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |