| NPI | 1609021484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE MCELWANEY Billing Supervisor 727-596-1815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS0004837) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2009-02-13 |