| NPI | 1962663641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS LIVA Mbr 954-732-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0571AS) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |