Organization
JUPITER IMAGING ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT DROZDOW (SENIOR VICE PRESIDENT)
(954) 838-2371
Entity
Organization
Contact information
Practice address
725 RANTOUL LN, LAKE MARY, FL 32746-4249
(954) 838-2371
Mailing address
PO BOX 3147, INDIANAPOLIS, IN 46206-3147
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
09/17/2019
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