| NPI | 1306389317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZIN SHIKARA President 561-779-1652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL ME94252) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2021-07-23 |