| NPI | 1962175059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA HELMS Chief Operating Officer 813-549-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |