| NPI | 1992954572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY SMITH CEO 813-251-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085N0904X |
| 2085N0700X | |
| 2085P0229X Radiology, Pediatric Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2009-08-27 |