Organization
PRESGAR IMAGING OF ROCKLEDGE LLC
Active
Other names
Open MRI of Rockledge
Organization subpart
No
Provider details
NPI number
Authorized official
ROBBIE ROBERTSON (PRESIDENT AND CEO)
(813) 323-2594
Entity
Organization
Contact information
Practice address
1978 ROCKLEDGE BLVD, SUITE 101, ROCKLEDGE, FL 32955-3722
(321) 633-1600
(321) 633-0433
Mailing address
23110 STATE RD 54, PMB 292, LUTZ, FL 33549-2921
(352) 578-2055
(813) 971-0818
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
HCC5110
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257947200
—
FL
01
—
CG5418
RAILROAD MEDICARE
FL
Enumeration date
12/29/2005
Last updated
10/28/2021
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