Organization
SOUTHEASTERN IMAGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEA KAGANOVICH (PRESIDENT)
(954) 343-3293
Entity
Organization
Contact information
Practice address
100 S BIRCH RD APT 1001, FORT LAUDERDALE, FL 33316-1542
(954) 343-3293
Mailing address
100 S BIRCH RD, STE 1001, FORT LAUDERDALE, FL 33316
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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