| NPI | 1821339698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE E BLACH Owner 786-202-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL Me68778) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |