Organization
RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J GOODEMOTE (CEO)
(863) 577-0303
Entity
Organization
Contact information
Practice address
301 N ALEXANDER ST, PLANT CITY, FL 33563-4303
(813) 757-1200
Mailing address
PO BOX 20027, TAMPA, FL 33622-0027
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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