| NPI | 1326479056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FREDERIC SACKETT President 904-280-4388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: WI 18916-20) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-05 |