| NPI | 1225361850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FABIAN Medical Director 941-235-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL HCC6183) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-10-28 |