| NPI | 1104219948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA A. HILL Office Administrator 352-435-0723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 72864) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |