NPI Provider: 1346231016
Contact Name: Nierenberg Larry
Position: President
Phone: (954) 442-9726
South Florida Diagnostic Associates Information:
South Florida Diagnostic Associates organization have npi 1346231016, taxonomy code is 261QS1200X with license number is HCC6245 in . This Business address located in 15211 Laurel Ln S, Pembroke Pines, FL 33027 Florida.
Practice Location
Address: 20020 Veterans Blvd, Port Charlotte, FL 33954
Phone: (941) 623-0460
Business Location
Address: 15211 Laurel Ln S, Pembroke Pines, FL 33027
Phone: (954) 442-9726
Fax: (954) 442-6817
Taxonomy
Taxonomy Code: 261QS1200X
License Number: HCC6245
License Number of State: FL
Primary Taxonomy Switch: Y
Enumeration Date: 11/2/2005
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