Organization
SOCA IMAGING INC
Active
Other names
Kissimmee Outpatient Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILES E GILMAN (PRESIDENT)
(305) 665-1197
Entity
Organization
Contact information
Practice address
1503 W OAK ST, KISSIMMEE, FL 34741-4065
(407) 847-8864
(407) 847-5137
Mailing address
8100 ROYAL PALM BLVD STE 102, CORAL SPRINGS, FL 33065-5733
(954) 341-2325
(954) 341-6926
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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