Organization
FLORIDA RADIOLOGY LEASING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN SPENCE (CFO)
(239) 343-6513
Entity
Organization
Contact information
Practice address
6311 S POINTE BLVD STE 600, FORT MYERS, FL 33919-4901
(239) 343-9150
(239) 343-9159
Mailing address
6311 S POINTE BLVD STE 600, FORT MYERS, FL 33919-4901
(239) 234-3391
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
NA
FL
2085R0202X
Diagnostic Radiology Physician
Primary
NA
FL
2085R0204X
Vascular & Interventional Radiology Physician
NA
FL
Other
Enumeration date
06/07/2006
Last updated
12/13/2023
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