MEDICARE: MS. KARIN A BOYLE R.T.(R)

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
1	247100000X	Radiologic Technologist	CRT 53924	FL
2	247100000X	Radiologic Technologist	348460	FL

General Provider Information

NPI Number	:	1861661100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KARIN A BOYLE R.T.(R)

Provider Business Mailing Address
First Line	:	4353 UNION SPRINGS RD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34608-3369
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4353 UNION SPRINGS RD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34608-3369
Country	:	US
Telephone Number	:	352-263-3354
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2008
Last Update Date	:	02/20/2008

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