Organization
PEMBROKE PINK IMAGING LLC
Active
Organization
PEMBROKE PINK IMAGING LLC
Active
Parent organization
VITALMD GROUP HOLDING
Organization subpart
Yes
Provider details
NPI number
Legal business name
VITALMD GROUP HOLDING
Authorized official
MRS. PATRICIA VARONA (DIRECTOR)
(305) 740-5100
Entity
Organization
Contact information
Practice address
15735 PINES BLVD, PEMBROKE PINES, FL 33027-1207
(305) 740-5100
Mailing address
15735 PINES BLVD, PEMBROKE PINES, FL 33027-1207
(305) 740-5100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/12/2014
Last updated
09/23/2014
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