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NPI Code Detail

MEDICARE: RADIOLOGY CONSULTANTS OF PALM BEACH

MEDICARE: RADIOLOGY CONSULTANTS OF PALM BEACH
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
1261QR0206XMammography Clinic/CenterME20137GA

General Provider Information

NPI Number : 1851484141
Entity Type Code : Organization
Provider Name (Legal Business Name) : RADIOLOGY CONSULTANTS OF PALM BEACH
Provider Business Mailing Address
First Line : 2450 HOLLYWOOD BLVD STE 300
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-6624
Country : US
Telephone Number : 954-929-3400
Fax Number : 954-929-2001
Provider Business Practice Location Address
First Line : 6766 FOREST HILL BLVD
Second Line :
City : GREENACRES
State : FL
Zip : 33413-3321
Country : US
Telephone Number : 561-966-2270
Fax Number : 561-966-9837
Authorized Official
Title or Position : PRESIDENT
Name : DR. VLADIMIR GRNJA
Credential : M.D.
Telephone Number : 954-929-3400
Provider Enumeration Date : 10/02/2006
Last Update Date : 08/22/2020

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