NPI | 1841290103 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS LLOYD CROLEY Medical Director 352-237-8400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: FL 817) |
Enumeration Date | 2005-07-28 |
Last Update Date | 2014-08-06 |