Organization
MEDICUS DIAGNOSTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO LOPEZ-IVERN (OWNER)
(561) 893-0655
Entity
Organization
Contact information
Practice address
9980 CENTRAL PARK BLVD N, SUITE 116, BOCA RATON, FL 33428-1762
(561) 208-5515
Mailing address
9980 CENTRAL PARK BLVD N, SUITE 116, BOCA RATON, FL 33428-1762
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
07/16/2008
Last updated
04/25/2012
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