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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