| NPI | 1407878408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKI GLENN Office Manager 850-864-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: FL ME0063572) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-10-11 |