| NPI | 1396904496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J TIMKEN Owner 407-622-9306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL FLME67809) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-08-12 |