| NPI | 1750405114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE ELIZABETH HOUSTON Credentialing Coordinator 954-577-5836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2012-02-23 |