| NPI | 1639432040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN D PATTERSON-BLAND Administration 850-562-1656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography |
| 2471M2300X Radiologic Technologist, Mammography | |
| 2471S1302X Radiologic Technologist, Sonography | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-21 |