| NPI | 1427115435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASSER RAZACK Owner 727-374-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME92656) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME92656) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: FL ME92656) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2018-06-21 |