Organization
TRI COUNTY PET LLC
Active
Other names
PET Imaging Institute of South Florida
Organization subpart
No
Provider details
NPI number
Authorized official
LISETTE CRUZ-DENO (MANAGING DIRECTOR)
(954) 981-6668
Entity
Organization
Contact information
Practice address
1150 N 35TH AVE, SUITE 665, HOLLYWOOD, FL 33021-5424
(954) 981-6668
(954) 981-5944
Mailing address
1150 N 35TH AVE, SUITE 665, HOLLYWOOD, FL 33021-5424
(954) 981-6668
(954) 981-5944
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC5507
FL
Other
Enumeration date
08/15/2005
Last updated
12/12/2013
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