| NPI | 1851533806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY KORCHMAN Vice President 561-424-9968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL CRT67277) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL CRT67227) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |