| NPI | 1801146162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER RAMOS Owner 954-629-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME77450) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |