| NPI | 1134311624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEETA HARRIPERSAUD Billing Manager 772-781-5849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL 2008-122-0017) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-09-05 |