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Organization

NEURORAD TESTING SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL PACKARD MD (MD)
(855) 200-2632
Entity
Organization

Contact information

Practice address
301 YAMATO RD STE 1100, BOCA RATON, FL 33431-4901
(855) 200-2632
Mailing address
301 YAMATO RD STE 1100, BOCA RATON, FL 33431-4901

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME30779
FL

Other

Enumeration date
09/25/2013
Last updated
09/25/2013
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