NPI | 1972613545 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISHNA TRIPURANENI Owner 561-795-3330 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1185) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2010-10-08 |