Organization
BOCA RATON OPEN IMAGING CENTER LLC
Active
Organization
BOCA RATON OPEN IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVELLE HARDIN (CREDENTIALING COORDINATOR)
(615) 344-8203
Entity
Organization
Contact information
Practice address
1601 CLINT MOORE ROAD, SUITE 140, BOCA RATON, FL 33487
(561) 939-0850
(561) 939-0899
Mailing address
1601 CLINT MOORE ROAD, SUITE 140, BOCA RATON, FL 33487
(561) 939-0850
(561) 939-0899
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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