NPI | 1952071920 |
---|---|
Doing Business As | LAKEVIEW SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | JAN LESLIE DIEDRICH Senior Director 321-277-2376 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2021-09-20 |
Last Update Date | 2021-12-06 |