NPI | 1932106119 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA PARKER Insurance Billing COO Rdinator 352-479-0149 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
Enumeration Date | 2005-07-05 |
Last Update Date | 2022-07-21 |