| NPI | 1689052359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT W MORI President 904-399-5550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2016-02-16 |