NPI | 1730751439 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDY JORDAN Credentialing Specialist 321-206-8100 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Enumeration Date | 2021-07-13 |
Last Update Date | 2021-07-13 |