| NPI | 1457300469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A CLARK Owner 727-585-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME0051405) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2008-08-29 |