Florida Radiology Management LLC
Organization Active NPI Diagnostic Radiology Physician · Wauchula, FL
NPI 1477620060 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1477620060
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- FLORIDA RADIOLOGY MANAGEMENT LLC
- Practice address
- 533 Carlton St
Wauchula, FL 33873-3407 - Phone
- (863) 773-3101
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Charles May
- Title
- Chief Executive Officer
- Phone
- (407) 767-5306
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Florida Radiology Management LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
533 Carlton St
Wauchula, FL 33873-3407
Mailing address
PO Box 150340
Altamonte Springs, FL 32715-0340
Phone (407) 767-0433
Other providers in Wauchula, FL
- Brenda Farmer
- Finao Corporation
- Florida Cancer Specialists P L
- Florida Cardiac Consultants, Inc
- Florida Department of Health
- Sonia C Franco
- Carrie Lynn Friedman
- Jamie Futch
- Destiny Corrine Garza
- William John Gill
All providers in Wauchula, FL · Diagnostic Radiology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.