Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Feb 2, 2006
License(s)
58861 (FL), ME58861 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1600 SW ARCHER RD | Gainesville, FL 32610-3003 | 352-265-0291 |
| MAILING | PO BOX 918025 | Orlando, FL 32891-8025 | 352-265-0291 |
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