| NPI | 1093002776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID COURSON Partner 941-815-1103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: FL CRT8522) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: FL CRT39038) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |