| NPI | 1740586460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHYAM B PARYANI President 904-346-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0904X |
| Additional Taxonomies | 2085R0001X |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |