NPI | 1093804643 |
---|---|
Doing Business As | LAKELAND OPEN MRI |
Entity Type | Organization |
Authorized Contact | SIEGFRIED K HOLZ President 863-646-8955 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL ME40704) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2015-12-04 |