Organization
METROPOLITAN DIAGNOSTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD H TIETJEN (PRESIDENT)
(561) 358-8462
Entity
Organization
Contact information
Practice address
12797 W FOREST HILL BLVD STE B, WELLINGTON, FL 33414-4763
(561) 358-8462
(561) 792-0217
Mailing address
12797 W FOREST HILL BLVD STE B, WELLINGTON, FL 33414-4763
(561) 358-8462
(561) 792-0217
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC6776
FL
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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