| NPI | 1962057497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SCHLEMBACH Chief Compliance Officer 850-439-5425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |