Organization
MEDICAL CENTER IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSS SEGER D C (PRESIDENT OWNER)
(561) 967-8888
Entity
Organization
Contact information
Practice address
2700 W CYPRESS CREEK RD, SUITE C11, FT LAUDERDALE, FL 33309-1744
(954) 974-6191
Mailing address
4623 FOREST HILL BLVD, SUITE 101, WEST PALM BEACH, FL 33415-7469
(561) 967-8888
(561) 641-8303
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC6061
ACHA LICENSE
FL
Enumeration date
11/05/2014
Last updated
11/05/2014
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