Organization
COUNTY RADIOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KEITH HERRON MD (MANAGER)
(352) 220-6525
Entity
Organization
Contact information
Practice address
8303 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 628-9900
Mailing address
1122 SE KINGS BAY DR, CRYSTAL RIVER, FL 34429-4645
(352) 220-6525
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
02/21/2009
Last updated
02/21/2009
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