Organization
GARDENS EFL IMAGING CENTER LLC
Active
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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