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Organization

PRESGAR IMAGING OF ROCKLEDGE LLC

Active
Other names
South Brevard Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
ROBBIE ROBERTSON (PRESIDENT AND CEO)
(813) 323-2594
Entity
Organization

Contact information

Practice address
1327 OAK ST, MELBOURNE, FL 32901-3110
(321) 729-1449
(321) 722-4270
Mailing address
23110 STATE RD 54, PMB 292, LUTZ, FL 33549-2921
(352) 578-2055
(813) 971-0818

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
HCC4831
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
257947200
FL
Enumeration date
12/29/2005
Last updated
10/28/2021
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