| NPI | 1497202675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BROWN Owner 863-535-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME62144) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |