| NPI | 1992757678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH FREUDENBERGER Manager Member 850-862-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: FL HCC4491) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-06-17 |