Organization
NUCLEAR STUDIES OF SOUTH FLORIDA,P.A.
Active
Organization
NUCLEAR STUDIES OF SOUTH FLORIDA,P.A.
Active
Other names
Metabolic Imaging of Boca
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON ALLEN KOTLER M.D. (PRESIDENT)
(561) 347-8077
Entity
Organization
Contact information
Practice address
5458 TOWN CENTER RD, SUITE 103, BOCA RATON, FL 33486-1089
(561) 347-8077
(561) 347-7731
Mailing address
PO BOX 11697, FT LAUDERDALE, FL 33339-1697
(561) 347-8077
(561) 347-7731
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266567
AVMED
FL
01
—
V2296
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/14/2005
Last updated
08/22/2020
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