NPI | 1366117103 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW HOWARD BERLET Medical Director 813-348-6915 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Enumeration Date | 2021-08-13 |
Last Update Date | 2021-08-13 |