| NPI | 1548864333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE BOLTON Member/Owner 352-672-2246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-23 |