| NPI | 1912245853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MCNAMARA EVP 239-597-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2086S0129X |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2018-10-12 |