| NPI | 1730259896 |
|---|---|
| Doing Business As | SOUTHBANK IMAGING SERVICE |
| Entity Type | Organization |
| Authorized Contact | NICOLAU SACAQUINI Business Director 904-731-1556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL HCC5333) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |