Organization
FORT LAUDERDALE MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN G. LEFORT (PRESIDENT)
(954) 510-0333
Entity
Organization
Contact information
Practice address
4300 NW 92ND TER, CORAL SPRINGS, FL 33065-1731
(954) 510-0333
(954) 510-0333
Mailing address
PO BOX 9494, CORAL SPRINGS, FL 33075-9494
(954) 510-0333
(954) 510-0333
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V1728
BLUECROSSBLUESHIELD
FL
Enumeration date
05/16/2007
Last updated
08/22/2020
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