Organization · Type 2 NPI

Summerlin Imaging Center LLC

Diagnostic Radiology Physician · Gainesville, FL

NPI number 1124654405 Active

Practice location

7520 W University Ave Ste D
Gainesville, FL 32607-7612

Call (904) 375-8884 Map

Fax (904) 375-8887

Mailing address

6415 Lake Worth Rd Ste 102
Greenacres, FL 33463-3009

Specialties and licenses

Taxonomy	Code	License
Diagnostic Radiology Physician Primary	2085R0202X	None listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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NPI record

NPI: 1124654405
Entity type: Organization (Type 2)
Issued: Mar 18, 2020
Last updated: Mar 27, 2020
Status: Active

Other names

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Gainesville Diagnostic Imaging · doing business as
Gainesville Diagnostic Imaging · doing business as

Authorized official

Bradford G Peters
Financial Officer
(561) 331-0808

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About NPI 1124654405

Summerlin Imaging Center LLC's National Provider Identifier is 1124654405, issued on Mar 18, 2020. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Gainesville, FL. The record was last updated on Mar 27, 2020.