| NPI | 1811751423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT STEVEN GARGASZ Owner/President 813-394-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |