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Organization

RADIOLOGY REGIONAL CENTER, PA

Active
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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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