Organization
FAST X-RAY PORTABLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE HERNANDEZ (PRESIDENT)
(305) 267-7156
Entity
Organization
Contact information
Practice address
10540 NW 26TH ST, SUITE G102, DORAL, FL 33172-5932
(305) 591-8589
(305) 591-8589
Mailing address
10540 NW 26TH ST, SUITE G102, DORAL, FL 33172-5932
(305) 591-8589
(305) 591-8589
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
HCC4867
FL
Other
Enumeration date
05/16/2006
Last updated
09/25/2007
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