| NPI | 1437351988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY C POWERS Provider Enrollment 813-253-2721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 207U00000X Nuclear Medicine |
| 2085N0700X Radiology, Neuroradiology | |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085P0229X Radiology, Pediatric Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2019-05-23 |