| NPI | 1972376911 |
|---|---|
| Other Name | ASC LOCATION |
| Entity Type | Organization |
| Authorized Contact | LORA MORSE VP Professional Fee Services 321-434-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-16 |