| NPI | 1912381583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN PUPO Owner 305-280-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2023-10-10 |