| NPI | 1598065542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC MARZANO Owner 239-430-4674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL HCC7795) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |