Organization
MOBILE SONIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER J FOX (VICE PRESIDENT)
(407) 339-7717
Entity
Organization
Contact information
Practice address
13059 PENSHURST LN, WINDERMERE, FL 34786-6671
(407) 339-7717
(321) 445-5559
Mailing address
PO BOX 947951, MAITLAND, FL 32794-7951
(407) 339-7717
(321) 445-5559
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC7053
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510057700
—
FL
Enumeration date
07/04/2006
Last updated
02/07/2012
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