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 |