| NPI | 1891172078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE MARY RADEMEYER Administrator 727-953-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2022-06-30 |