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Organization
KEY WEST COMMUNITY DIAGNOSTIC COMPANY, LLC
Active
Organization
KEY WEST COMMUNITY DIAGNOSTIC COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDUARDO GARRIDO JR. PA-C (CEO)
(305) 295-9771
Entity
Organization
Contact information
Practice address
3414 DUCK AVE, KEY WEST, FL 33040
(305) 295-9771
(305) 295-0059
Mailing address
353 CYPRESS PKWY, KISSIMMEE, FL 34759
(305) 295-9771
(305) 295-0059
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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