Organization
RX IMAGING OF SWFL LLC
Active
Organization
RX IMAGING OF SWFL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN LEE TANNENBAUM M.D. (OWNER)
(239) 541-5444
Entity
Organization
Contact information
Practice address
506 SE 47TH TER, SUITE A, CAPE CORAL, FL 33904-8517
(239) 541-5444
(239) 471-2674
Mailing address
506 SE 47TH TER, SUITE A, CAPE CORAL, FL 33904-8517
(239) 541-5444
(239) 471-2674
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
JR44872000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013199600
—
FL
Enumeration date
10/02/2015
Last updated
10/02/2015
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