NPI | 1487794186 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY A PANKEY Owner 904-992-9749 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL HCC6547) |
Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: AL I3794) |
261QR0208X Clinic/Center, Radiology, Mobile | |
Enumeration Date | 2007-02-08 |
Last Update Date | 2024-10-03 |