Organization
DOCTORS IMAGING GROUP LLC VASCULAR AND INTERVENTIONAL PHYSICIANS OFFIC
Active
Parent organization
DOCTORS IMAGING GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOCTORS IMAGING GROUP LLC
Authorized official
DR. DAN E WARE M.D. (PRESIDENT/ PRACTICING PHYSICIAN)
(352) 331-9729
Entity
Organization
Contact information
Practice address
6685 NW 9TH BLVD, GAINESVILLE, FL 32605-4206
(352) 333-7847
(352) 333-0990
Mailing address
PO BOX 147026, GAINESVILLE, FL 32614-7026
(352) 331-9729
(352) 331-0136
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259303300
—
FL
05
—
259303304
—
FL
01
—
270855
AVMED GROUP
FL
01
—
45280
BC GROUP
FL
01
—
CK3155
RRMC GROUP
FL
Enumeration date
08/09/2006
Last updated
05/02/2008
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