| NPI | 1922334705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA K BROWN Vice President 321-259-9429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL JR 26573000) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |