| NPI | 1659984870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARRI KING Official 727-214-0462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-09-08 |