| NPI | 1235184011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN JANET CARVAJAL Owner 727-398-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: FL 02736-01) |
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: FL JR 4010100) |
| 207X00000X Orthopaedic Surgery | |
| 261QR0200X Clinic/Center, Radiology (Licence: FL JR 3911800) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2019-11-05 |