| 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 |