| NPI | 1548460546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG R MIERCORT Provider 813-754-7756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME87496) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |