| NPI | 1275532632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD KANTOR Owner/President 954-452-5638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center Radiology, Mobile (Licence: FL HCC6340) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2016-05-06 |