Healthcare Provider Details
I. General information
NPI: 1295730232
Provider Name (Legal Business Name): XRAY AND IMAGING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/16/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2621 SE LAKE WEIR AVE
OCALA FL
34471-6720
US
IV. Provider business mailing address
2621 SE LAKE WEIR AVE
OCALA FL
34471-6720
US
V. Phone/Fax
- Phone: 352-369-0770
- Fax: 352-369-0772
- Phone: 352-369-0770
- Fax: 352-369-0772
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BEATRIZ
LUMAIN
CATRAL
Title or Position: RADIOLOGIST
Credential: M.D.
Phone: 352-369-0770