| NPI | 1689050965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH S GORDY CEO/President 904-819-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL 3665) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |