NPI | 1164452405 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE A FRISBEE Chief Operating Officer 904-358-8441 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL 3381-2) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2020-08-22 |