| NPI | 1114298429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOODY DUBREUZE President 954-446-0354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL HCC6347) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |