| NPI | 1861535536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDELIO MIRABOLO Owner 305-480-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: FL HCC6687) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC6687) |
| 261QR0206X Clinic/Center, Radiology, Mammography (Licence: FL HCC10640) | |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC10640) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2016-05-13 |