Organization
ADVANCED IMAGING OF PORT CHARLOTTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS FABIAN (MEDICAL DIRECTOR)
(941) 235-4646
Entity
Organization
Contact information
Practice address
2625 TAMIAMI TRAIL, UNIT 1, PORT CHARLOTTE, FL 33952
(941) 235-4646
(941) 235-4667
Mailing address
2625 TAMIAMI TRAIL, UNIT 1, PORT CHARLOTTE, FL 33952
(941) 235-4646
(941) 235-4667
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
HCC6183
FL
Other
Enumeration date
09/15/2009
Last updated
10/28/2009
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