| NPI | 1588988356 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KRISTI LYNN ENNIS President/Owner 561-901-5242  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL l10000023489)  | 
| Enumeration Date | 2010-03-23 | 
| Last Update Date | 2010-03-23 |