Organization
FLORIDA RADIOLOGY CONSULTANTS P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMAL KSAR MD (PRESIDENT)
(239) 331-5566
Entity
Organization
Contact information
Practice address
24301 WALDEN CENTER DR STE 102, BONITA SPRINGS, FL 34134-4965
(239) 331-5566
(239) 437-7499
Mailing address
8791 CONFERENCE DR STE 1, FORT MYERS, FL 33919-5837
(239) 331-5566
(239) 437-7499
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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