| NPI | 1720198542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRI D. NGUYEN Owner Director 941-795-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME34708) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |