| NPI | 1003983685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA KASSA Sr Vice President 904-300-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: CA 6640-30) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2023-07-24 |