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Organization
TRI COUNTY PET LLC
Active
Organization
TRI COUNTY PET LLC
Active
Other names
PET Imaging Institute of South Florida
Organization subpart
No
Provider details
NPI number
Authorized official
LISETTE CRUZ-DENO (MANAGING DIRECTOR)
(954) 981-6668
Entity
Organization
Contact information
Practice address
1150 N 35TH AVE, SUITE 665, HOLLYWOOD, FL 33021-5424
(954) 981-6668
(954) 981-5944
Mailing address
1150 N 35TH AVE, SUITE 665, HOLLYWOOD, FL 33021-5424
(954) 981-6668
(954) 981-5944
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC5507
FL
Other
Enumeration date
08/15/2005
Last updated
12/12/2013
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