| NPI | 1861653685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY M. HARTOG Medical Director 321-282-0561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1199) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |