| NPI | 1972872604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIS W GRAHAM Executive Director 941-747-3034 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME6540) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2011-12-27 |