| NPI | 1801783782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE GREEN SVP/CFO 863-687-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |