| NPI | 1407035645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET HORNE Billing Manager 352-795-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL me0037230) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |