Organization
MID FLORIDA RADIOLOGY CENTERS P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY KUMAR VERMA MD (MEDICAL DIRECTOR)
(386) 775-1612
Entity
Organization
Contact information
Practice address
955 TOWN CENTER DR, SUITE 200, ORANGE CITY, FL 32763-8255
(386) 775-1612
(386) 775-1289
Mailing address
955 TOWN CENTER DR, SUITE 200, ORANGE CITY, FL 32763-8255
(386) 775-1612
(386) 775-1289
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
ME75332
FL
Other
Enumeration date
10/23/2006
Last updated
02/24/2010
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