| NPI | 1912018086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LOEWE President 941-552-3480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1164) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-09-20 |