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 |