| NPI | 1518907823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN SPENCE CFO 239-343-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL NA) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: FL NA) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL NA) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-12-13 |