Organization
PARK SOUTH IMAGING CENTER LTD
Active
Other names
Park South Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARY WRIGHT (PRESIDENT AND CEO)
(813) 675-2600
Entity
Organization
Contact information
Practice address
6215 21ST AVE W, WEST #A, BRADENTON, FL 34209-7819
(941) 795-4449
(941) 792-0267
Mailing address
PO BOX 292921, TAMPA, FL 33687-2921
(813) 675-2498
(813) 971-0818
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC4822
FL
Other
Enumeration date
12/28/2005
Last updated
02/29/2008
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