NPI | 1902120728 |
---|---|
Entity Type | Organization |
Authorized Contact | IRA KLIMBERG Managing Member 352-237-1385 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1025) |
Enumeration Date | 2010-03-23 |
Last Update Date | 2010-03-23 |