| NPI | 1780941864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FAGIEN Medical Director 954-580-2780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology |
| 2085N0904X Radiology, Nuclear Radiology | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2025-01-15 |