| NPI | 1083722789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRI D. NGUYEN Owner 941-749-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL L06000059070) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-11-13 |