| NPI | 1699011841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY T SMITH CEO 813-253-2721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL HCC6551) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: FL HCC6551) |
| 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: FL HCC6551) | |
| 2085N0700X Radiology, Neuroradiology (Licence: FL HCC6551) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: FL HCC6551) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL HCC6551) | |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |