NPI | 1104853431 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIE M POLISSAINT President 561-282-7672 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL 62331) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2020-08-22 |