| NPI | 1952477333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C BROWN President 239-939-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1029) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |