| NPI | 1346443819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE WIEDER Practice Administrator 941-625-0677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology (Licence: FL ME95607) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |