| NPI | 1932431913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE MOORE Managed Care Specialist 561-795-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-07-16 |