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Organization

PM RADIOLOGY PL

Active
Other names
Gateway EmUrgent Care at MCER
Organization subpart
No

Provider details

NPI number
Authorized official
GAGANDEEP SINGH MANGAT MD (MANAGING MEMBER/PRESIDENT)
(727) 522-1061
Entity
Organization

Contact information

Practice address
23607 US HIGHWAY 27, LAKE WALES, FL 33859-6305
(727) 522-1061
(727) 528-7916
Mailing address
4800 PARK BLVD N, PINELLAS PARK, FL 33781-3534
(727) 522-1061
(727) 528-7916

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
03/06/2015
Last updated
03/06/2015
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