| NPI | 1144992025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEDEANNA MCCOY Radiologist 305-801-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2022-03-14 |