| NPI | 1134126667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA TULLO Administrator/Billing COO Rdinator 407-699-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center Radiology, Mammography |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2008-03-25 |