| NPI | 1518257617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANICIA O VICENTE Director Of Billing 407-367-5160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL HCC8985) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |