Organization
ADVANCED IMAGING CONCEPTS PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVEEN BIKKISANI M.D. (OWNER/MEDICAL DIRECTOR)
(352) 597-0016
Entity
Organization
Contact information
Practice address
13470 TAFT ST, BROOKSVILLE, FL 34613-6820
(352) 597-0016
(352) 597-0089
Mailing address
13470 TAFT ST, BROOKSVILLE, FL 34613-6820
(352) 597-0016
(352) 597-0089
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112355300
—
FL
05
—
272239900
—
FL
Enumeration date
04/12/2006
Last updated
11/28/2022
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