Organization · Type 2 NPI
Professional Radiology Associates
Diagnostic Radiology Physician · Leesburg, FL
NPI number
1104219948
Active
Practice location
212 N 2nd St
Leesburg, FL 34748-5103
Fax (352) 435-0724
Mailing address
29750 US 19 N, Suite 205
Clearwater, FL 33761-1510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 72864 (FL) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3 other providers at this address
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About NPI 1104219948
Professional Radiology Associates's National Provider Identifier is 1104219948, issued on Mar 17, 2015. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Leesburg, FL. The record was last updated on Mar 17, 2015.