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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