| NPI | 1497510978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK SANTORE CEO 813-924-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-07-29 |