Organization
PHYSICIANS FOR A COMMUNITY UNITED FOR RESEARCH AND EDUCATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHYAM B PARYANI (PRESIDENT)
(904) 346-3338
Entity
Organization
Contact information
Practice address
3650 EMERGENCY LN, SEBRING, FL 33870-5534
(863) 382-8811
(863) 382-6055
Mailing address
PO BOX 19675, JACKSONVILLE, FL 32245-9675
(904) 346-3338
(904) 346-0815
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
—
FL
2085R0001X
Radiation Oncology Physician
—
FL
2085R0202X
Diagnostic Radiology Physician
—
FL
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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