Organization
GLADES IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE DANIEL GHIRAGOSSIAN M.D. (OWNER)
(561) 762-7170
Entity
Organization
Contact information
Practice address
1200 S MAIN ST, SUITE 103, BELLE GLADE, FL 33430-7808
(561) 762-7170
Mailing address
1157 S STATE ROAD 7, WELLINGTON, FL 33414-6101
(561) 762-7170
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
08/22/2020
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