| NPI | 1700392388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J WILLIAMS Owner 727-896-2202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL HCC6260) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |