| NPI | 1346573839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH Y. HAZELBAKER Sole Proprietor 321-795-7396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: FL 57090) |
| Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: FL 57090) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-11-18 |