| NPI | 1932940145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA GALARZA CRESPO Vice President 904-432-5365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-11-04 |