Organization
REMOTE RAD TECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLAVIO CIPRIANO DA FONSECA LANES (MANAGER)
(646) 785-0788
Entity
Organization
Contact information
Practice address
8 THE GRN, DOVER, DE 19901-3618
(646) 785-0788
Mailing address
9100 S DADELAND BLVD STE 1500, MIAMI, FL 33156-7816
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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