| NPI | 1356222673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA CZIGANY Manager 352-789-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center Radiology, Mobile |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| 261QV0200X Clinic/Center VA | |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-09-11 |