| NPI | 1669864658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BROWN Medical Director 850-624-5666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME62144) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2017-04-19 |