| NPI | 1083802805 |
|---|---|
| Doing Business As | INNOVATIVE IMAGING JACKSONVILLE |
| Entity Type | Organization |
| Authorized Contact | PAUL STANLEY CEO 813-690-5720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2020-10-05 |