| NPI | 1932190170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN T HOTALING Director 352-873-9311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 882) |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: FL 882) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2023-11-03 |