| NPI | 1255286175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN BRAND Owner 941-280-5054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2026-03-04 |
| Last Update Date | 2026-03-10 |