| NPI | 1790301661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE PAGAN Administrator 321-437-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2025-02-21 |