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NPI Code Detail

MEDICARE: RADIOLOGY ASSOCIATES OF SOUTH FLORIDA LLC

MEDICARE: RADIOLOGY ASSOCIATES OF SOUTH FLORIDA LLC
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
12085R0204XVascular & Interventional Radiology Physician
22085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1639742596
Entity Type Code : Organization
Provider Name (Legal Business Name) : RADIOLOGY ASSOCIATES OF SOUTH FLORIDA LLC
Provider Business Mailing Address
First Line : PO BOX 201031
Second Line :
City : DALLAS
State : TX
Zip : 75320-1031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4525 THOMASSON DR
Second Line :
City : NAPLES
State : FL
Zip : 34112-6962
Country : US
Telephone Number : 785-596-1960
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : SHARLEE LEBLEU
Credential :
Telephone Number : 480-321-7026
Provider Enumeration Date : 07/20/2021
Last Update Date : 07/11/2024

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Directions to “RADIOLOGY ASSOCIATES OF SOUTH FLORIDA LLC ” Practice Location

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