Organization
PHYSICIANS IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YONAS ZEGEYE MD (OWNER)
(772) 463-4033
Entity
Organization
Contact information
Practice address
1050 SE MONTEREY ROAD, SUITE #102, STUART, FL 34994
(772) 220-9700
(772) 463-4034
Mailing address
1050 SE MONTEREY ROAD, SUITE #102, STUART, FL 34994
(772) 220-9700
(772) 463-4034
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V3272
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/06/2007
Last updated
07/10/2008
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