| NPI | 1669103198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B. ESPOSITO Authorized Official 863-688-2334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-06-24 |