| NPI | 1326375940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY SMITH CEO 813-251-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL HCC6551) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: FL HCC6551) |
| 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: FL HCC6551) | |
| 2085N0700X Radiology, Neuroradiology (Licence: FL HCC6551) | |
| 2085N0904X Radiology, Nuclear Radiology (Licence: FL HCC6551) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: FL HCC6551) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: FL HCC6551) | |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |