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Organization
CLINICAL PET OF HERNANDO INC
Active
Organization
CLINICAL PET OF HERNANDO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GANESH D ARORA (PRESIDENT)
(352) 494-6142
Entity
Organization
Contact information
Practice address
4003 MARINE BLVD, SPRINGHILL, FL 34609-2466
(352) 688-2505
(352) 689-5405
Mailing address
PO BOX 773029, OCALA, FL 34477-3029
(352) 795-0847
(352) 795-7843
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2881
BCBS
FL
Enumeration date
08/30/2005
Last updated
06/10/2008
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