| NPI | 1275638652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRI D. NGUYEN Owner 941-795-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: FL L06000059070) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |