| NPI | 1164519096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD EDWARD WATSON Owner 954-458-4121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: FL HCC4965) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |