| NPI | 1790718096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN BARKER Administrator 813-386-3674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL HCC5727) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2008-06-17 |