is a Diagnostic Radiology in Boynton Beach, Florida. practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for is 1801053756. The last update date is .
's current location address is 200 Knuth Rd, Boynton Beach, Florida. You can contact this provider via phone number 5617361200 and fax number 5617421919. The mailing address for is 200 Knuth Rd, Boynton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 200 Knuth Rd, Boynton Beach, Florida |
| Phone Number | 5617361200 |
| Fax Number | 5617421919 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1801053756 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 200 Knuth Rd |
|---|---|
| City | Boynton Beach |
| State | Florida (FL) |
| Post Code | 334364629 |
| Phone Number | 5617361200 |
| Fax Number | 5617421919 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | ME 101544 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ME 101544 | FL | MEDICAL LICENSE NUMBER | |
| 123600 | FL | -- | |
| 44026 | FL | BLUE CROSS BLUE SHIELD |
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