Organization
KISSIMMEE DIAGNOSTIC CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARICELIS MORALES M.D. (PRESIDENT)
(407) 963-6454
Entity
Organization
Contact information
Practice address
301 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4901
(407) 963-6454
Mailing address
301 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4901
(407) 963-6454
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
FL
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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