| NPI | 1437602612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIS BRADLEY NORSOPH President / CEO 813-899-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |