| NPI | 1558493742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE TERESA MACNICOL President 239-352-9225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: FL HCC5809) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2014-03-12 |