Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 24, 2005
License(s)
ME82462 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 6716 NW 11TH PLACE STE 200 | Gainesville, FL 32605-4215 | 352-331-9729 |
| MAILING | 6716 NW 11TH PLACE STE 200 | Gainesville, FL 32605-4215 | 352-331-9729 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.