| NPI | 1023041217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM MURPHY Administration 305-649-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: FL HCC4323) |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL HCC4323) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |