Organization
RADIOLOGY REGIONAL CENTER, PA
Active
Organization
RADIOLOGY REGIONAL CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH KNIFIC MD (CEO)
(239) 936-2316
Entity
Organization
Contact information
Practice address
18300 MURDOCK CIR BLDG 15, PORT CHARLOTTE, FL 33948-1117
(941) 255-7901
(941) 255-7910
Mailing address
3660 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-2316
(239) 834-6106
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054636419
—
FL
Enumeration date
08/20/2021
Last updated
06/20/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up