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NPI Code Detail

MEDICARE: SARA RADIOLOGY

MEDICARE: SARA RADIOLOGY
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

General Provider Information

NPI Number : 1932159969
Entity Type Code : Organization
Provider Name (Legal Business Name) : SARA RADIOLOGY
Provider Business Mailing Address
First Line : PO BOX 496515
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33949-6515
Country : US
Telephone Number : 727-585-7020
Fax Number : 727-450-1144
Provider Business Practice Location Address
First Line : 1500 LEE BLVD
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33936-4835
Country : US
Telephone Number : 727-585-7020
Fax Number : 727-450-1144
Authorized Official
Title or Position : PRESIDENT
Name : DR. ALBERTO M RIGHI
Credential : MD
Telephone Number : 727-585-7020
Provider Enumeration Date : 05/11/2006
Last Update Date : 08/22/2020

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