Healthcare Provider Details

I. General information

NPI: 1508000704
Provider Name (Legal Business Name): RADCARE OF FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2009
Last Update Date: 07/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10461 QUALITY DR
SPRING HILL FL
34609-9634
US

IV. Provider business mailing address

13737 NOEL RD SUITE 1600
DALLAS TX
75240-1331
US

V. Phone/Fax

Practice location:
  • Phone: 352-688-8200
  • Fax: 214-712-2487
Mailing address:
  • Phone: 214-712-2074
  • Fax: 214-712-2487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GREGORY J BYRNE
Title or Position: PRESIDENT
Credential:
Phone: 214-712-2000