| NPI | 1861410359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET L GONZALEZ President 305-484-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL HCC6904) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-05-25 |