NPI | 1003866773 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN R DETELICH CEO 850-878-4127 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
2085N0700X Radiology, Neuroradiology | |
2085N0904X Radiology, Nuclear Radiology | |
2085P0229X Radiology, Pediatric Radiology | |
2085R0204X Radiology, Vascular & Interventional Radiology | |
2085U0001X Radiology, Diagnostic Ultrasound | |
2471C3401X Radiologic Technologist, Computed Tomography | |
Enumeration Date | 2006-05-11 |
Last Update Date | 2014-03-14 |