Organization
SHERIDAN-PINES MRI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON DAVIS (DIRECTOR OF OPERATIONS)
(954) 797-6744
Entity
Organization
Contact information
Practice address
6860 SW 195TH AVE, FT LAUDERDALE, FL 33332-1656
(954) 369-4860
(954) 369-4865
Mailing address
6860 SW 195TH AVE, FT LAUDERDALE, FL 33332-1656
(954) 369-4860
(954) 369-4865
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
08/19/2022
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