| NPI | 1780634972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM FUEREDI President 239-793-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085U0001X Radiology Diagnostic Ultrasound |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |