Organization
PRIME RADIOLOGY OF MAITLAND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BROWN MD (OWNER)
(863) 535-5544
Entity
Organization
Contact information
Practice address
7960 FOREST CITY RD, SUITE 102, ORLANDO, FL 32810-2938
(863) 535-5544
(321) 348-5777
Mailing address
7960 FOREST CITY RD, SUITE 102, ORLANDO, FL 32810-2938
(863) 535-5544
(321) 348-5777
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME62144
FL
Other
Enumeration date
08/18/2016
Last updated
12/20/2016
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