| NPI | 1174976468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELA GHIRAGOSSIAN Practice Administrator 561-268-6509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2020-11-04 |