| NPI | 1568422996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MAPLE Chief Administrative Officer 727-787-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology (Licence: FL HCC3787) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2025-05-07 |