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) 798-8500
Mailing address
1155 S CONGRESS AVE STE C, PALM SPRINGS, FL 33406-5114
(561) 766-1300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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