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 |