| NPI | 1265753271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERSON RAYMOND Owner 561-503-6331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL CRT 33569) |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL 37218) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |