| NPI | 1811573017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUKWUKA C OKAFOR Medical Director 863-688-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-03-29 |