Organization
SANITAS LAUDERDALE LAKES IDTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRA G TORRES (CFO)
(718) 918-2370
Entity
Organization
Contact information
Practice address
4850 W OAKLAND PARK BLVD STE 136, LAUDERDALE LAKES, FL 33313-7277
(954) 945-3530
Mailing address
8400 NW 33RD ST STE 201, DORAL, FL 33122-1937
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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