| NPI | 1003012683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN HENRY PEVSNER President 813-496-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL ME19375) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2007-11-27 |