Organization
BOYNTON BEACH EFL IMAGING CENTER LLC
Active
Other names
Boynton Beach Open Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA FOGARTY (VP IMAGING SERVICES)
(561) 838-3630
Entity
Organization
Contact information
Practice address
2300 S CONGRESS AVE, SUITE105, BOYNTON BEACH, FL 33426-7400
(561) 733-5001
(561) 733-0208
Mailing address
2300 S CONGRESS AVE, SUITE105, BOYNTON BEACH, FL 33426-7400
(561) 733-5001
(561) 733-0208
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272376000
—
FL
Enumeration date
04/07/2006
Last updated
05/18/2010
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