| NPI | 1083973655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BRIAN MARU President 813-639-1674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME 107580) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |