| NPI | 1073207007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA THORNE Credentialing Manager 321-228-6442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-11-09 |