Organization
CENTRAL FLORIDA RADIOLOGY LLC
Active
Organization
CENTRAL FLORIDA RADIOLOGY LLC
Active
Other names
Standup MRI of Brevard
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FAUCETT (MANGER)
(321) 409-9990
Entity
Organization
Contact information
Practice address
STANDUP MRI OF BREVRD, 6023 FARCENDA PLACE - SUITE 101, MELBOURNE, FL 32940-7340
(321) 409-9990
Mailing address
PO BOX 411145, MELBOURNE, FL 32941-1145
(321) 831-1111
(321) 831-1212
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
04/23/2024
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