| NPI | 1376906537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT L SHICK Manager 954-494-3032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL L13000099384) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |