| NPI | 1851804561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LEONARD CEO 813-786-2339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL OSR1258) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |