Organization
SOUTH FLORIDA INTERVENTIONAL RADIOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROGOFF MD (DIRECTOR)
(305) 855-0306
Entity
Organization
Contact information
Practice address
4308 ALTON RD, SUITE 740, MIAMI BEACH, FL 33140-4556
(305) 855-0306
Mailing address
PO BOX 63225, CHARLOTTE, NC 28263-3225
(305) 855-0306
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME76154
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME76154
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME76154
MEDICAL LICENSE
FL
Enumeration date
04/20/2010
Last updated
01/19/2011
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