| NPI | 1801954045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD R EMERY Director Of Operations/Owner 407-628-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: FL P93000010429) |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: FL HCC6695) | |
| 261QR0206X Clinic/Center, Radiology, Mammography (Licence: FL HCC6695) | |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: FL HCC6695) | |
| 261QR0200X Clinic/Center, Radiology (Licence: FL HCC6695) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2012-09-05 |