| NPI | 1356530091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA LEPERE Assistant Administrator 863-293-1071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-11-30 |