Organization
PROFESSIONAL RADIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA A. HILL (OFFICE ADMINISTRATOR)
(352) 435-0723
Entity
Organization
Contact information
Practice address
212 N 2ND ST, LEESBURG, FL 34748-5103
(352) 435-0723
(352) 435-0724
Mailing address
29750 US 19 N, SUITE 205, CLEARWATER, FL 33761-1510
(352) 435-0723
(352) 435-0724
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
72864
FL
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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