| NPI | 1952327538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONATO ANTHONY VIGGIANO Medical Director 772-335-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 741) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |