| NPI | 1063564672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S. FRISK Radiologist 904-247-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology (Licence: FL 0700012919) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2012-01-24 |