| NPI | 1972793289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIAZ A JALEEL Medical Director 904-743-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: FL 1000006568) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |