Organization
RADIANT MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA SMITH (MANAGING MEMBER)
(561) 801-2642
Entity
Organization
Contact information
Practice address
1094 MILITARY TRL, JUPITER, FL 33458-7021
(561) 801-2642
Mailing address
14063 PORT CIR, WEST PALM BEACH, FL 33410-1148
(561) 801-2642
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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