# SOUTHEASTERN IMAGING ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780828814
- **Authorized official:** MR. RONALD ENRIQUE GONZALEZ RDMS, RDCS, RVT (PRESIDENT)
- **Authorized official phone:** (954) 325-3911

## Contact information

- **Practice address:** 8461 LAKE WORTH RD, SUITE 235, LAKE WORTH, FL 33467-2474
- **Practice address phone:** (561) 422-3372
- **Practice address fax:** (561) 422-3377
- **Mailing address:** 8461 LAKE WORTH RD, SUITE 235, LAKE WORTH, FL 33467-2474
- **Mailing address phone:** (561) 422-3372
- **Mailing address fax:** (561) 422-3377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | HCC8538 | FL | Yes |

## Other

- **Enumeration date:** 04/20/2009
- **Last updated:** 01/18/2013
