Organization · Type 2 NPI
Lakeside Edx LLC
Radiology Clinic/Center · Miramar Beach, FL
NPI number
1730763244
Active
Practice location
495 Grand Blvd Ste 206
Miramar Beach, FL 32550-1897
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | None listed |
Radiology Clinic/Center: Definition to come...
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Other radiology clinic/center providers in Miramar Beach
About NPI 1730763244
Lakeside Edx LLC's National Provider Identifier is 1730763244, issued on May 11, 2021. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Miramar Beach, FL. The record was last updated on May 11, 2021.