Organization
SOCA IMAGING INC
Active
Other names
SW Florida Regional Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILES E. GILMAN (PRESIDENT)
(305) 665-1197
Entity
Organization
Contact information
Practice address
19621 COCHRAN BLVD STE 3, PT CHARLOTTE, FL 33948-2043
(941) 629-9729
(941) 627-8080
Mailing address
8100 ROYAL PALM BLVD STE 102, CORAL SPRINGS, FL 33065-5733
(954) 341-2325
(954) 341-6926
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
HCC4109
FL
Other
Enumeration date
09/11/2008
Last updated
04/30/2009
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