Organization
FLORIDA RADIOLOGY CONSULTANTS P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMAL KSAR MD (PRESIDENT)
(239) 331-5566
Entity
Organization
Contact information
Practice address
2776 CLEVELAND AVE, DEPT. OF RADIOLOGY, FORT MYERS, FL 33901-5864
(239) 331-5566
(239) 377-4994
Mailing address
8791 CONFERENCE DR, SUITE 1, FORT MYERS, FL 33919-5822
(239) 331-5566
(239) 437-7499
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262870800
—
FL
05
—
262870804
—
FL
05
—
262870805
—
FL
05
—
262870806
—
FL
05
—
262870807
—
FL
05
—
262870808
—
FL
05
—
262870809
—
FL
05
—
262870810
—
FL
05
—
262870811
—
FL
05
—
262870812
—
FL
05
—
262870813
—
FL
05
—
262870814
—
FL
05
—
262870815
—
FL
05
—
262870816
—
FL
01
—
38168
BCBS OF FLORIDA
FL
01
—
CJ5512
RR MEDICARE
FL
Enumeration date
05/22/2006
Last updated
05/16/2024
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