| NPI | 1154428597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JEAN DAMIANI President 727-669-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC5325) |
| Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: FL HCC5325) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-11-17 |