Organization
SUMMERLIN IMAGING CENTER LLC
Active
Other names
Gainesville Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD G PETERS (FINANCIAL OFFICER)
(561) 331-0808
Entity
Organization
Contact information
Practice address
7520 W UNIVERSITY AVE STE D, GAINESVILLE, FL 32607-7612
(904) 375-8884
(904) 375-8887
Mailing address
6415 LAKE WORTH RD STE 102, GREENACRES, FL 33463-3009
(561) 331-0808
(561) 237-6034
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
03/27/2020
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