| NPI | 1376965236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABNER MARTIN LANDRY Owner/Radiologist 727-586-0545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: FL me56269) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology (Licence: FL me56269) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2023-03-07 |