| NPI | 1326208695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY I. BENRUBI CEO/Vice President 904-244-3109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology |
| 2085N0904X Radiology Nuclear Radiology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2019-10-11 |