| NPI | 1245576651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY SMITH CEO 813-253-2721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL HCC6551) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL HCC6551) | |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2023-09-15 |