Organization
SPORTS IMAGING CENTERS, LLC
Active
Other names
Windsor Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBY YYONNE DUKE (ADMINISTRATOR)
(772) 466-5050
Entity
Organization
Contact information
Practice address
1000 VIRGINIA AVE, FORT PIERCE, FL 34982
(772) 466-5050
(772) 467-1003
Mailing address
1000 VIRGINIA AVE, FORT PIERCE, FL 34982
(772) 466-5050
(772) 467-1003
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
HCC8031
FL
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001110400
—
FL
01
—
V1780
BC
FL
Enumeration date
08/08/2006
Last updated
04/30/2018
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