| NPI | 1356012256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ASHLEY CLAYTON Manager 305-598-1555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |