| NPI | 1043459811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVENPORT Medical Director 941-951-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME60801) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |