Organization
SUNTREE DIAGNOSTIC CENTER
Active
Parent organization
SUNTREE DIAGNOSTIC CENTER
Other names
Wuesthoff X-ray and Lab at Baytree
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNTREE DIAGNOSTIC CENTER
Authorized official
MR. BILL HINES (VP, HEALTH SERVICES)
(321) 255-8125
Entity
Organization
Contact information
Practice address
7970 N WICKHAM RD, SUITE A, MELBOURNE, FL 32940-7917
(321) 255-7711
(321) 255-7734
Mailing address
7970 N WICKHAM RD, SUITE A, MELBOURNE, FL 32940-7917
(321) 255-7711
(321) 255-7734
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
HCC5631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051814000
—
FL
Enumeration date
03/05/2007
Last updated
06/26/2008
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