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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