| NPI | 1972666113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDEL EDWARD FRANCO Medical Director 904-391-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME59554) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |