Organization
F B A DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN A VALDES (PRESIDENT)
(305) 863-3738
Entity
Organization
Contact information
Practice address
697 E 9TH ST, HIALEAH, FL 33010-4523
(305) 863-3738
(305) 863-3739
Mailing address
697 E 9TH ST, HIALEAH, FL 33010-4523
(305) 863-3738
(305) 863-3739
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
HCC6243
FL
Other
Enumeration date
11/08/2006
Last updated
01/07/2008
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