Organization
CLERMONT RADIOLOGY LLC
Active
Parent organization
CLERMONT RADIOLOGY LLC
Other names
Clermont Radiology-Kings Ridge
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLERMONT RADIOLOGY LLC
Authorized official
MR. ROBERT S. KOLB (PRESIDENT/CEO)
(770) 833-1456
Entity
Organization
Contact information
Practice address
3725 SOUTH HIGHWAY 27, SUITE 104, CLERMONT, FL 34711
(352) 241-6100
(352) 241-6101
Mailing address
PO BOX 593869, ORLANDO, FL 32859-3869
(352) 241-6100
(352) 241-6101
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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