Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 29, 2007
License(s)
ME139258 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 12902 USF MAGNOLIA DR | Tampa, FL 33612-9416 | 813-745-7365 |
| MAILING | PO BOX 198441 | Atlanta, GA 30384-8441 | 813-745-7365 |
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