| NPI | 1942685649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BONO Administrator 941-681-2842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 183957) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |