| NPI | 1255904215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW HOWARD BERLET Medical Director 813-348-6915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-19 |