| NPI | 1992022529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARUCH JACOBS Director 305-674-7499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 333) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-04-21 |