| NPI | 1891358792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEN ANDREW GILES Medical Director 305-468-4185 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |