| NPI | 1871724955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE D BRITT Credentialing Coordinator 321-725-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |