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Organization
PROFESSIONAL RADIOLOGY ASSOCIATES, PA
Active
Organization
PROFESSIONAL RADIOLOGY ASSOCIATES, PA
Active
Other names
Advanced Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ONEILL MD (OWNER/PHYSICIAN)
(386) 774-7226
Entity
Organization
Contact information
Practice address
1639 N VOLUSIA AVE, ORANGE CITY, FL 32763-3843
(386) 774-7226
(386) 774-7227
Mailing address
1639 N VOLUSIA AVE, ORANGE CITY, FL 32763-3843
(386) 774-7226
(386) 774-7227
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007181000
—
FL
Enumeration date
11/16/2011
Last updated
04/19/2023
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