NPI | 1962552232 |
---|---|
Doing Business As | GRIFFIN RD CAMPUS OF LSDC |
Entity Type | Organization |
Authorized Contact | EMILY DUNCAN CEO 863-683-2428 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1213) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2016-03-18 |