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Organization
RADIANCE MEDICAL SOLUTIONS, INC.
Active
Organization
RADIANCE MEDICAL SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN TANNER (OWNER)
(813) 381-3103
Entity
Organization
Contact information
Practice address
19455 GULF BLVD STE 3A, INDIAN SHORES, FL 33785-2000
(813) 381-3103
Mailing address
19455 GULF BLVD STE 3A, INDIAN SHORES, FL 33785-2000
(813) 381-3103
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
07/20/2018
Last updated
03/02/2019
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