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Organization
ADVANCED MOLECULAR IMAGING OF FLORIDA LLC
Active
Organization
ADVANCED MOLECULAR IMAGING OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FAGIEN MD (CEO)
(954) 557-8408
Entity
Organization
Contact information
Practice address
2650 N MILITARY TRL, BOCA RATON, FL 33431-6350
(954) 557-8408
Mailing address
2650 N MILITARY TRL, BOCA RATON, FL 33431-6350
(954) 557-8408
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
ME59548
FL
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
ME59548
FL
2085R0202X
Diagnostic Radiology Physician
ME59548
FL
261Q00000X
Clinic/Center
ME59548
FL
261QR0200X
Radiology Clinic/Center
Primary
ME59548
FL
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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