Organization
SUNRISE RADIOLOGY SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HULDA IGLESIAS GONZALEZ (OWNER)
(888) 967-8674
Entity
Organization
Contact information
Practice address
1700 NE 57TH ST, FT LAUDERDALE, FL 33334-5913
(888) 967-8674
Mailing address
1700 NE 57TH ST, FT LAUDERDALE, FL 33334-5913
(888) 967-8674
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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