| NPI | 1740781137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T O'DONNELL Medical Director 850-622-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL DN16800) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |