Organization
NUCLEAR SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT HANEY SOULE (PRESIDENT)
(407) 320-1889
Entity
Organization
Contact information
Practice address
4155 SAINT JOHNS PKWY, #1400, SANFORD, FL 32771-6391
(407) 320-1889
(407) 320-0820
Mailing address
4155 SAINT JOHNS PKWY, #1400, SANFORD, FL 32771-6391
(407) 320-1889
(407) 320-0820
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC7788
AHCA HEALTH
FL
Enumeration date
12/07/2007
Last updated
02/05/2009
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