| NPI | 1821670852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA SUE WHITEHEAD Business Owner 863-412-4698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |