| NPI | 1093769655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JAMES RYBAK Owner/Sonographer 239-810-4419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC6873) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |