| NPI | 1790080679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEANA RODRIGUEZ Owner 239-242-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography (Licence: FL HCC9201) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-09-16 |