Organization
NEURO ORTHO RAD MONITORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMOS O DARE M.D. (MEDICAL DIRECTOR)
(561) 844-0120
Entity
Organization
Contact information
Practice address
1447 MEDICAL PARK BLVD, SUITE 101, WELLINGTON, FL 33414-3164
(561) 844-0120
(561) 800-1074
Mailing address
1447 MEDICAL PARK BLVD, SUITE 101, WELLINGTON, FL 33414-3164
(561) 844-0120
(561) 800-1074
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
07/03/2008
Last updated
02/22/2012
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