Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 27, 2006
License(s)
W1526 (TX), ME81488 (FL), 036-097141 (IL), 036-097141 (IL), MD429782 (PA), 234540 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 11253 S APOPKA VINELAND RD | Orlando, FL 32836-6110 | 877-879-3603 |
| LOCATION | 11253 S APOPKA VINELAND RD | Orlando, FL 32836-6110 | 407-745-1481 |
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