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Organization
FLORIDA SUPERIOR IMAGING INC
Active
Organization
FLORIDA SUPERIOR IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOODY DUBREUZE (PRESIDENT)
(954) 446-0354
Entity
Organization
Contact information
Practice address
1100 SUNSET STRIP, SUITE 4, SUNRISE, FL 33313-6197
(954) 446-0354
(305) 446-0384
Mailing address
1100 SUNSET STRIP, SUITE 4, SUNRISE, FL 33313-6197
(954) 446-0354
(305) 446-0384
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
HCC6347
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC6347
AHCA
FL
Enumeration date
01/18/2012
Last updated
01/18/2012
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