Organization
GARDENS EFL IMAGING CENTER LLC
Active
Other names
Gardens Open Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA FOGARTY (VP IMAGING SERVICES)
(561) 838-3630
Entity
Organization
Contact information
Practice address
3335 BURNS RD, SUITE 101, PALM BEACH GARDENS, FL 33410-4322
(561) 627-6227
Mailing address
3335 BURNS RD, SUITE 101, PALM BEACH GARDENS, FL 33410-4322
(561) 627-6227
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275844000
—
FL
Enumeration date
05/11/2006
Last updated
05/18/2010
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