| NPI | 1104889377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN RESTIVO Compliance & Credentialing Manager 352-241-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: SC 19347) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2021-12-30 |