NPI | 1952354326 |
---|---|
Entity Type | Organization |
Authorized Contact | JAFFER J. KHAN Administrator,President 941-412-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 990010084736) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2016-07-25 |