| NPI | 1841612108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIS B. NORSOPH President/CEO 813-899-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging |
| 2085N0700X Radiology Neuroradiology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2015-03-25 |