| NPI | 1578503389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICELA J CARMONA President 305-412-8329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL HCC6608) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |