Organization
ELITE DIAGNOSTIC SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERTO GINORIS (OWNER)
(305) 646-1953
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD, SUITE 2G5, MIAMI, FL 33172-7018
(305) 646-1953
(786) 409-7374
Mailing address
175 FONTAINEBLEAU BLVD, SUITE 2G5, MIAMI, FL 33172-7018
(305) 646-1953
(786) 409-7374
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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