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NPI Code Detail

MEDICARE: WEST HERNANDO DIAGNOSTIC & MR CENTER

MEDICARE: WEST HERNANDO DIAGNOSTIC & MR CENTER
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
12085R0202XDiagnostic Radiology Physician

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 : 1891789673
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST HERNANDO DIAGNOSTIC & MR CENTER
Provider Business Mailing Address
First Line : 2687 E GULF TO LAKE HWY
Second Line :
City : INVERNESS
State : FL
Zip : 34453-3216
Country : US
Telephone Number : 352-637-4466
Fax Number : 352-637-4482
Provider Business Practice Location Address
First Line : 2687 E GULF TO LAKE HWY
Second Line :
City : INVERNESS
State : FL
Zip : 34453-3216
Country : US
Telephone Number : 352-637-4466
Fax Number : 352-637-4482
Authorized Official
Title or Position : CFO
Name : MS. KAREN HAYES JR.
Credential :
Telephone Number : 352-799-0046
Provider Enumeration Date : 09/07/2005
Last Update Date : 07/23/2021

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Directions to “WEST HERNANDO DIAGNOSTIC & MR CENTER ” Practice Location

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