NPI | 1891070256 |
---|---|
Entity Type | Organization |
Authorized Contact | WAYNE CHUTKAN VP Of Finance 305-674-2662 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME104939) |
Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: FL ME104939) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME104939) | |
Enumeration Date | 2011-10-18 |
Last Update Date | 2021-09-22 |