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Organization

DELRAY EFL IMAGING CENTER LLC

Active
Other names
Delray Open Imaging Center
Organization subpart
No

Provider details

NPI number
Authorized official
WANDAY FOGARTY (VP IMAGING SERVICES)
(561) 838-3630
Entity
Organization

Contact information

Practice address
4800 LINTON BLVD, BUILDING C, DELRAY BEACH, FL 33445-6584
(561) 638-2499
Mailing address
4800 LINTON BLVD, BUILDING C, DELRAY BEACH, FL 33445-6584
(561) 638-2499

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
272321200
FL
Enumeration date
04/07/2006
Last updated
05/18/2010
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