Organization
S J DEPRIMA MD RADIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN JOSEPH DEPRIMA (PRESIDENT)
(786) 871-6826
Entity
Organization
Contact information
Practice address
6129 SW 70TH ST, SOUTH MIAMI, FL 33143-3451
(786) 871-6826
Mailing address
PO BOX 431306, SOUTH MIAMI, FL 33243-1306
(305) 661-7026
(305) 663-7316
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374522800
—
FL
Enumeration date
07/16/2013
Last updated
07/16/2013
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