| NPI | 1710226485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROCK LOVELACE Manager 954-629-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME82360) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |