Organization
NEO PET I, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLORO MIRALDI M.D. (MEDICAL DIRECTOR)
(440) 439-5145
Entity
Organization
Contact information
Practice address
4411 N HOLLAND SYLVANIA RD, SUITE 202, TOLEDO, OH 43623-2509
(419) 517-1333
Mailing address
34555 CHAGRIN BLVD, SUITE 200, CHAGRIN FALLS, OH 44022-1068
(440) 893-9949
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
0864-IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2549282
—
OH
Enumeration date
05/16/2006
Last updated
09/11/2007
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