| NPI | 1164602967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON R WILLIAMS President/Physician 863-402-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2008-04-20 |