| NPI | 1538159819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P LENNIE President/COO 904-247-2674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology (Licence: FL HCC6630) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2007-09-10 |