| NPI | 1477607117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULLAH GHAEDI Vice President 813-684-5144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: FL 161638) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2012-04-16 |