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Organization

MERIDIAN RADIOLOGY ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY CARPENTER (INSURANCE MANAGER)
(561) 620-7441
Entity
Organization

Contact information

Practice address
20283 STATE ROAD 7, SUITE 400, BOCA RATON, FL 33498-6901
(561) 620-7441
Mailing address
20283 STATE ROAD 7, SUITE 400, BOCA RATON, FL 33498-6901
(561) 620-7441

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
H7715
TX
2085R0202X
Diagnostic Radiology Physician
ME0031479
FL

Other

Enumeration date
11/30/2011
Last updated
04/17/2012
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