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Organization
EXPRESS RADIOLOGY GROUP, INC.
Active
Organization
EXPRESS RADIOLOGY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNAN BLANCO (P.D)
(786) 252-5023
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD, SUITE 2 G1, MIAMI, FL 33172-7018
(305) 603-9983
Mailing address
175 FONTAINEBLEAU BLVD, SUITE 2 G1, MIAMI, FL 33172-7018
(305) 603-9983
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
BMO59003
FL
Other
Enumeration date
12/19/2013
Last updated
01/29/2014
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