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Organization
SARA RADIOLOGY INC
Active
Organization
SARA RADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE WIEDER (PRACTICE ADMINISTRATOR)
(941) 625-0677
Entity
Organization
Contact information
Practice address
2400 HARBOR BLVD, UNIT #7, PORT CHARLOTTE, FL 33952-5052
(941) 625-0677
(941) 625-0688
Mailing address
7595 BAYMEADOWS CIR W, APT#506, JACKSONVILLE, FL 32256-1879
(301) 404-9552
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
ME95607
FL
Other
Enumeration date
06/11/2007
Last updated
08/22/2020
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