| NPI | 1669997961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGARDO CASTILLO Owner 239-770-6408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME106313) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2022-07-21 |