Organization
SOUTHWEST FLORIDA REGIONAL IMAGING II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVYN J KATZEN MD (MANAGING MEMBER)
(941) 815-1988
Entity
Organization
Contact information
Practice address
2852 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-5125
(941) 637-9729
(941) 637-3873
Mailing address
329 E OLYMPIA AVE, PUNTA GORDA, FL 33950-3833
(941) 637-9729
(941) 637-3873
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002995400
—
FL
Enumeration date
06/28/2010
Last updated
02/24/2014
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