Organization
RADIOLOGY REGIONAL CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH KNIFIC MD (CEO)
(239) 936-2316
Entity
Organization
Contact information
Practice address
6600 UNIVERSITY PKWY, SUITE 102, SARASOTA, FL 34240-9040
(239) 936-2316
(239) 834-6106
Mailing address
3660 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-2316
(239) 834-6106
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
03/24/2023
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