| NPI | 1710571153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL SLADE Contract Liaison Manager 407-738-4085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology |
| 2085N0904X | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085B0100X Radiology, Body Imaging | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 2085N0700X | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2025-11-14 |