| NPI | 1871160879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE CHUTKAN VP Of Finance 305-674-2662 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2086S0129X |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |