Organization
PALM BEACH RADIOLOGY PROFESSIONALS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTIAGO HERNANDEZ M.D. (DIRECTOR)
(561) 548-3727
Entity
Organization
Contact information
Practice address
2801 N STATE ROAD 7, MARGATE, FL 33063-5727
(561) 548-3727
(561) 548-1238
Mailing address
DEPT AT 952288, ATLANTA, GA 31192-2288
(305) 503-6320
(305) 503-6329
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME62568
FL
2085R0203X
Therapeutic Radiology Physician
ME62568
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269492100
—
FL
Enumeration date
02/24/2006
Last updated
12/30/2013
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