Organization
PRO IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M. HYDE (PRESIDENT)
(561) 624-6170
Entity
Organization
Contact information
Practice address
600 SANDTREE DR, SUITE #203 B, PALM BEACH GARDENS, FL 33403-1597
(561) 624-6170
Mailing address
600 SANDTREE DR, SUITE #203 B, PALM BEACH GARDENS, FL 33403-1597
(561) 624-6170
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70117
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/09/2007
Last updated
08/09/2007
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