| NPI | 1356711329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN LEE TANNENBAUM Owner 239-541-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL JR44872000) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2015-10-02 |