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General NPI Number Information
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NPI Number | 1871564518
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Entity Type | Organization
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Legal Business Name | IMAGING CONSULTANTS OF SOUTH FLORIDA
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 5352 LINTON BLVD
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City | DELRAY BEACH
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State | FL
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Zip | 33484
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Country | US
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Telephone | 561-498-4440
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Fax |
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Provider Business Mailing Address
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Address Line | 2555 PONCE DE LEON BLVD 4TH FLOOR
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City | CORAL GABLES
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-702-5135
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Fax | 305-441-2144
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK S ROSENBERG
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Credential | MD
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Telephone | 561-432-8316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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