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 |