| NPI | 1861714354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH COLLADO CEO 813-443-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0200X Chiropractor Radiology (Licence: FL MM23949) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |