Organization
INTELLIRAD IMAGING, LLC
Active
Parent organization
INTELLIRAD IMAGING, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTELLIRAD IMAGING, LLC
Authorized official
DR. RONALD JOSEPH MD (PARTNER)
(305) 712-7229
Entity
Organization
Contact information
Practice address
3663 S MIAMI AVE, MIAMI, FL 33133-4253
(305) 854-4400
Mailing address
PO BOX 7623, NAPLES, FL 34101-7623
(305) 712-7229
(305) 397-1139
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003WY
FLORIDA BLUE
FL
05
—
007735100
—
FL
05
—
007735101
—
FL
Enumeration date
12/13/2012
Last updated
07/05/2022
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