| NPI | 1689621476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MARK SMITH President & Owner 727-939-2674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: 9979) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology (Licence: HCC5730) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |