| NPI | 1841068095 |
|---|---|
| Former Legal Business Name | SURGERY CENTER OF TBOPLASTICS |
| Entity Type | Organization |
| Authorized Contact | KENDRA DEANGELIS Owner 727-285-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-01-11 |