| NPI | 1942259130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI MARIE BRICKEY Administrator 727-550-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1203) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2008-06-02 |