| NPI | 1992701049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON NMI SAMUELIAN CEO 850-747-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 0000745) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2008-04-20 |