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General NPI Number Information
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NPI Number | 1225836703
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Entity Type | Organization
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Legal Business Name | UNIVERSAL RADIOLOGY PARTNERS OF FLORIDA LLC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 10101 FOREST HILL BLVD
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City | WELLINGTON
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State | FL
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Zip | 33414-6103
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Country | US
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Telephone | 561-798-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 2326 S CONGRESS AVE STE 2D
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-7614
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DANIELA GHIRAGOSSIAN
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Credential |
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Telephone | 561-268-6509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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