| NPI | 1467551762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILAS J. CHARLES President 321-952-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology |
| 208D00000X General Practice | |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 2085R0001X Radiology, Radiation Oncology | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2023-07-26 |