Organization
AMERICAN RADIOLOGY SERVICES BANYAN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JOHN MARZANO MD (PRESIDENT)
(239) 430-4674
Entity
Organization
Contact information
Practice address
1350 TAMIAMI TRL N, SUITE101, NAPLES, FL 34102-5203
(239) 430-4674
(239) 263-8189
Mailing address
2338 IMMOKALEE RD, SUITE 116, NAPLES, FL 34110-1445
(239) 430-4674
(239) 263-8189
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC2420
FL
Other
Enumeration date
08/22/2006
Last updated
09/27/2007
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