| NPI | 1669172227 |
|---|---|
| Other Name | 1STP |
| Entity Type | Organization |
| Authorized Contact | LORA MORSE VP Professional Fee Services 321-434-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-03-14 |