| NPI | 1467818021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HOLEMAN Manager 904-493-6741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: FL ME61126) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-12-08 |