| NPI | 1679807713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A STIMSONREED Owner 352-233-7896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL 17562) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |