| NPI | 1659536951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH V. BONAR Managing Member 239-210-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL JR43749000) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2009-02-13 |