| NPI | 1932373792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA L UZZELL Project Manager 904-358-8441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL PENDING) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |