| NPI | 1285616227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEB J GARDINER Office Manager 727-581-6984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-08-22 |