| NPI | 1003302712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRANCH Billing Manager 239-324-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME97301) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2021-08-10 |