| NPI | 1538263033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENZO S BONGOLAN President 305-354-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL HCCR1337) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |