| NPI | 1225313000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROCK LOVELACE Manager 813-220-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME57257) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-11-03 |