| NPI | 1003922832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JOHN MARZANO President 239-430-4674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL HCC2420) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-09-27 |