| NPI | 1518911668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAL KSAR President 239-331-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL NA) |
| Additional Taxonomies | 2085N0904X (Licence: FL NA) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL NA) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2024-05-16 |