| NPI | 1023419991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MOND Registered Agent 305-904-3490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: FL ME69880) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |