| NPI | 1083491906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK SANTORE Vice President 813-924-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2025-01-24 |