Organization
PORTABLE MEDICAL DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS F ROSEBROUGH (OWNER/PRESIDENT)
(561) 964-7984
Entity
Organization
Contact information
Practice address
1855 LAKELAND DRIVE, SUITE G10, JACKSON, MS 39216-4926
(601) 987-9425
(601) 987-0093
Mailing address
840 US HIGHWAY ONE, SUITE 210, NORTH PALM BEACH, FL 33408-3833
(561) 626-9021
(561) 626-7593
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MRT1971
MS
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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