NPI | 1407686777 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN R DETELICH CEO 850-878-4127 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
Enumeration Date | 2024-08-02 |
Last Update Date | 2024-08-02 |