| NPI | 1467448639 |
|---|---|
| Doing Business As | COMMUNITY DIAGNOSTIC OF BRANDON |
| Entity Type | Organization |
| Authorized Contact | PAUL VELT Owner 813-496-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL ME73819) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME73819) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2008-04-02 |