| NPI | 1952902116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL SLADE Billing & Credentialing Manager 407-738-4085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 2085B0100X Radiology, Body Imaging | |
| 2085N0700X Radiology, Neuroradiology | |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085P0229X Radiology, Pediatric Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2024-03-12 |