Organization
ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC
Active
Parent organization
ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC
Other names
PREMIER MEDICAL IMAGING
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC
Authorized official
DR. RONALD I LANDAU M.D. (OWNER)
(407) 482-5253
Entity
Organization
Contact information
Practice address
601 N. CONGRESS AVE, SUITE 311, DELRAY BEACH, FL 33445-4621
(561) 921-0922
(561) 921-0923
Mailing address
601 N CONGRESS AVE, SUITE 311, DELRAY BEACH, FL 33445-4703
(561) 921-0922
(561) 921-0923
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
4645
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269651700
—
FL
Enumeration date
01/08/2007
Last updated
10/05/2012
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