Organization
RADIOLOGY ASSOCIATES PA OF FORT LAUDERDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GASTON MENDEZ JR. MD (PRES)
(954) 721-2200
Entity
Organization
Contact information
Practice address
7201 N UNIVERSITY DR, TAMARAC, FL 33321-2913
(954) 721-2200
Mailing address
PO BOX 93, LANDISVILLE, PA 17538-0093
(800) 800-1617
(866) 759-5426
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060915300
—
FL
Enumeration date
05/17/2006
Last updated
10/01/2013
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