| NPI | 1891798732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LYNN UZZELL Project Manager 904-535-8125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL HCC5689) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2023-01-11 |