| NPI | 1821114315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN RESTIVO Credentialing Manager 352-241-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: SC 061715) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2022-01-20 |