Organization · Type 2 NPI
Radiology Regional Center, PA
Diagnostic Radiology Physician · Bonita Springs, FL
NPI number
1174299978
Active
Practice location
9776 Bonita Beach Rd SE Ste 100
Bonita Springs, FL 34135-4773
Fax (239) 444-2210
Mailing address
3660 Broadway
Fort Myers, FL 33901-8005
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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About NPI 1174299978
Radiology Regional Center, PA's National Provider Identifier is 1174299978, issued on Aug 20, 2021. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Bonita Springs, FL. The record was last updated on Aug 20, 2021.