# FLORIDA DIAGNOSTICS SERVICES INC

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

## Provider details

- **NPI number:** 1902214091
- **Authorized official:** CARLOS A MACHADO (PRESIDENT)
- **Authorized official phone:** (305) 915-4134

## Contact information

- **Practice address:** 10621 N KENDALL DR STE 101A, MIAMI, FL 33176-1549
- **Practice address phone:** (305) 915-4134
- **Practice address fax:** (786) 360-4724
- **Mailing address:** 106210 N.KENDAL DR SUITE 101A, MIAMI, FL 33176
- **Mailing address phone:** (305) 915-4134
- **Mailing address fax:** (786) 360-4724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | MA69369 | FL | Yes |

## Other

- **Enumeration date:** 08/01/2014
- **Last updated:** 08/01/2014