| NPI | 1720123532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE DANIEL GHIRAGOSSIAN Owner 561-795-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: FL Pending) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |