| NPI | 1083645527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK MOORE VP Of Accounting And Finance 561-477-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: LA 6838-17) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |