| NPI | 1558707679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAGANDEEP SINGH MANGAT President 727-522-1061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2016-03-10 |