Organization
JOHNSON DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS M CANCELL CRT (PRESIDENT)
(954) 415-8541
Entity
Organization
Contact information
Practice address
5917 JOHNSON ST, HOLLYWOOD, FL 33021-5637
(954) 325-1826
(954) 415-8542
Mailing address
5917 JOHNSON ST, HOLLYWOOD, FL 33021-5637
(954) 325-1826
(954) 415-8542
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
CRT68355
FL
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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