NPI | 1316186943 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD ANTHONY BONILLA Owner/President 305-345-2055 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL 00069740) |
Enumeration Date | 2009-02-04 |
Last Update Date | 2020-04-21 |