Organization
RISGIMM, LLC
Active
Organization
RISGIMM, LLC
Active
Other names
Plant City MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD JOSEPH GOODEMOTE PHD., RN (CHIEF EXECUTIVE OFFICER)
(863) 577-0303
Entity
Organization
Contact information
Practice address
206 W ALEXANDER ST STE 1, PLANT CITY, FL 33563-7100
(863) 577-0303
(863) 577-0301
Mailing address
2125 CRYSTAL GROVE DR, LAKELAND, FL 33801-6875
(863) 577-0303
(863) 577-0301
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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