| NPI | 1982360780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA IWANSKI Director Of Operations 727-744-7917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2022-02-15 |