| NPI | 1407848211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN D BAST President 850-477-0775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471B0102X Radiologic Technologist, Bone Densitometry (Licence: FL JR3419100) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2020-08-22 |