Organization
EXCEPTIONAL IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEDEANNA MCCOY MD (RADIOLOGIST)
(305) 801-3336
Entity
Organization
Contact information
Practice address
8910 MIRAMAR PKWY STE 109, MIRAMAR, FL 33025-4187
(305) 801-3336
(305) 363-8446
Mailing address
8910 MIRAMAR PKWY STE 109, MIRAMAR, FL 33025-4187
(305) 801-3336
(305) 363-8446
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ME92013
—
CA
Enumeration date
09/29/2021
Last updated
03/14/2022
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