| NPI | 1417087495 |
|---|---|
| Doing Business As | SOUTHEAST CARDIOVASCULAR IMAGING |
| Entity Type | Organization |
| Authorized Contact | DERRICK LEVASCA JENKINS President 321-637-0852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC6819) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |