Organization
WEST HERNANDO DIAGNOSTIC & MR CENTER
Active
Parent organization
WEST HERNANDO DIAGNOSTIC & MR CENTER
Other names
West Hernando Diagnostic Center Brooksville
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST HERNANDO DIAGNOSTIC & MR CENTER
Authorized official
MS. KAREN HAYES JR. (CFO)
(352) 799-0046
Entity
Organization
Contact information
Practice address
15427 CORTEZ BLVD, BROOKSVILLE, FL 34613-6113
(352) 754-0600
(352) 754-0680
Mailing address
15427 CORTEZ BLVD, BROOKSVILLE, FL 34613-6113
(352) 754-0600
(352) 754-0680
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272166001
—
FL
Enumeration date
09/07/2005
Last updated
07/23/2021
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