| NPI | 1801309612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MCDONALD Chief Administrative Officer 813-310-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |