| NPI | 1790184356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN L TANNENBAUM Owner 239-541-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |