| 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 |