Organization
S J DEPRIMA MD RADIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN DEPRIMA (PRESIDENT)
(305) 661-7026
Entity
Organization
Contact information
Practice address
6129 SW 70TH ST, SOUTH MIAMI, FL 33143-3451
(305) 661-7026
Mailing address
PO BOX 431306, SOUTH MIAMI, FL 33243-1306
(305) 661-7026
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
ME0047268
FL
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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