| NPI | 1962466847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI LOPEZ Administrator 941-484-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1117) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2009-03-09 |