Organization
PRECISION MRI CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE RIOS MACLELLAN (AMBR)
(954) 266-4210
Entity
Organization
Contact information
Practice address
3500 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6809
(954) 266-4210
(954) 289-5948
Mailing address
3500 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6809
(954) 266-4210
(954) 289-5948
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L14000167208
DOCUMENT NUMBER
FL
Enumeration date
08/08/2016
Last updated
08/08/2016
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