| NPI | 1932884772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SIEGAL CEO 239-236-2215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2025-08-25 |