| NPI | 1821163296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MICHELLE MAHONEY President 727-819-9424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL HCC6803) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |