| NPI | 1992260566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MARIA GUTIERREZ Owner 863-529-7448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-06-17 |