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NPI Code Detail

MEDICARE: DIGITAL RADIOLOGY, INC

MEDICARE: DIGITAL RADIOLOGY, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0200XRadiology Clinic/CenterME83541FL

General Provider Information

NPI Number : 1396172789
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIGITAL RADIOLOGY, INC
Provider Business Mailing Address
First Line : 1353 BAY TER
Second Line :
City : NORTH BAY VILLAGE
State : FL
Zip : 33141-4002
Country : US
Telephone Number : 305-759-9293
Fax Number : 305-759-5544
Provider Business Practice Location Address
First Line : 1353 BAY TER
Second Line :
City : NORTH BAY VILLAGE
State : FL
Zip : 33141-4002
Country : US
Telephone Number : 305-759-9293
Fax Number : 305-759-5544
Authorized Official
Title or Position : PRESIDENT
Name : DR. DOUGLAS NEAL HORNSBY
Credential : M.D.
Telephone Number : 305-759-9293
Provider Enumeration Date : 10/01/2013
Last Update Date : 10/01/2013

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Directions to “DIGITAL RADIOLOGY, INC ” Practice Location

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