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NPI Code Detail

MEDICARE: FIRST ULTRASOUND INC

MEDICARE: FIRST ULTRASOUND INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0200XRadiology Clinic/CenterHCC8094FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538330618
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST ULTRASOUND INC
Provider Business Mailing Address
First Line : 138 SOUTH WOODS DR
Second Line : SUITE 101
City : ROCKLEDGE
State : FL
Zip : 32955-3262
Country : US
Telephone Number : 321-631-1636
Fax Number : 321-631-1512
Provider Business Practice Location Address
First Line : 138 SOUTH WOODS DR
Second Line : SUITE 101
City : ROCKLEDGE
State : FL
Zip : 32955-3262
Country : US
Telephone Number : 321-631-1636
Fax Number : 321-631-1512
Authorized Official
Title or Position : PRESIDENT
Name : MR. MANSOOR GHANEIE
Credential : BS
Telephone Number : 321-631-1636
Provider Enumeration Date : 03/17/2008
Last Update Date : 07/22/2008

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Directions to “FIRST ULTRASOUND INC ” Practice Location

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