Organization
SUMMIT RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY JOHANNA CUESTAS (ADMINISTRATOR)
(786) 216-5739
Entity
Organization
Contact information
Practice address
2050 NE 163RD STREET SUITE #103, NORTH MIAMI BEACH, FL 33162
(305) 940-1616
(305) 940-1618
Mailing address
2050 NE 163RD ST STE 103, NORTH MIAMI BEACH, FL 33162-4904
(305) 940-1616
(305) 940-1618
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
ME80354
FL
Other
Enumeration date
03/11/2008
Last updated
05/27/2008
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