| NPI | 1093878225 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | EDEL EDWARD FRANCO Medical Director 904-391-1600 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME59554) | 
| Enumeration Date | 2006-12-19 | 
| Last Update Date | 2020-08-22 |