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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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