NPI | 1770576167 |
---|---|
Doing Business As | ENCORE IMAGING |
Entity Type | Organization |
Authorized Contact | DANETTE LAURICIA Credentialing Manager 321-253-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL HCC3989) |
Additional Taxonomies | 2085U0001X Radiology Diagnostic Ultrasound (Licence: FL HCC3989) |
Enumeration Date | 2005-08-31 |
Last Update Date | 2024-01-11 |