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Organization

BLUE RADIOLOGY SERVICES LLC

Active
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Organization

BLUE RADIOLOGY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELA GHIRAGOSSIAN (PRACTICE ADMINISTRATOR)
(561) 268-6509
Entity
Organization

Contact information

Practice address
10101 FOREST HILL BLVD, WELLINGTON, FL 33414-6103
(561) 766-1301
(561) 693-0539
Mailing address
1155 S CONGRESS AVE STE C, PALM SPRINGS, FL 33406-5114
(561) 766-1300
(561) 693-0539

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
07/21/2016
Last updated
11/04/2020
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