Healthcare Provider Details

I. General information

NPI: 1588057426
Provider Name (Legal Business Name): RADIOLOGY AND CARDIOLOGY PARTNERS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2015
Last Update Date: 03/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 W PALMETTO PARK RD SUITE 205
BOCA RATON FL
33433-3424
US

IV. Provider business mailing address

7000 W PALMETTO PARK RD SUITE 205
BOCA RATON FL
33433-3424
US

V. Phone/Fax

Practice location:
  • Phone: 855-200-8262
  • Fax:
Mailing address:
  • Phone: 855-200-8262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License NumberME 107377
License Number StateFL

VIII. Authorized Official

Name: BRAD ARTEL
Title or Position: OWNER
Credential: MD
Phone: 855-200-8262