| NPI | 1255313664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L RANDELL President 407-303-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2005-11-19 |
| Last Update Date | 2012-01-16 |