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Organization
VITAL IMAGING DIAGNOSTIC CENTERS LLC
Active
Organization
VITAL IMAGING DIAGNOSTIC CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN PUIG (MGRM)
(305) 596-9992
Entity
Organization
Contact information
Practice address
692 N HOMESTEAD BLVD STE 106, HOMESTEAD, FL 33030-6237
(305) 596-9992
Mailing address
7101 SW 99TH AVE, MIAMI, FL 33173-4661
(305) 596-9992
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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