| NPI | 1992832646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR C BASILE Director 863-386-9469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |