Organization
RADIOLOGY GROUP OF WEST FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK D LAURENT (COO)
(334) 288-4624
Entity
Organization
Contact information
Practice address
8383 N DAVIS HWY, PENSACOLA, FL 32514-6039
(334) 288-4624
(334) 280-3628
Mailing address
2055 NORMANDIE DR, SUITE 108, MONTGOMERY, AL 36111-2732
(334) 288-4624
(334) 280-3628
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270015800
—
FL
Enumeration date
05/28/2006
Last updated
09/19/2008
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