NPI | 1639318637 |
---|---|
Entity Type | Organization |
Authorized Contact | GERALD ANTHONY NIEDZWIECKI President/Shareholder 727-791-7300 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME0070649) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: FL ME81474) |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME0070649) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME81474) | |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: FL ME0070649) | |
363A00000X Physician Assistant (Licence: FL PAT9104325) | |
Enumeration Date | 2009-02-13 |
Last Update Date | 2015-05-29 |