Organization
NORTH FLORIDA RADIOLOGICAL INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L CIRILLO MD (PRES)
(601) 636-0097
Entity
Organization
Contact information
Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(601) 636-0097
(601) 629-9969
Mailing address
1901 MISSION 66, VICKSBURG, MS 39180-3711
(601) 636-0097
(601) 629-9969
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
20496
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09958744
—
MS
Enumeration date
02/15/2010
Last updated
05/24/2010
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