Organization
PM RADIOLOGY P L
Active
Other names
Gateway Radiology at MCER
Organization subpart
No
Provider details
NPI number
Authorized official
GAGANDEEP S MANGAT M.D. (PRESIDENT)
(727) 522-1061
Entity
Organization
Contact information
Practice address
23607 US HIGHWAY 27, LAKE WALES, FL 33859
(727) 522-1061
(727) 528-7916
Mailing address
4800 PARK BLVD N, PINELLAS PARK, FL 33781-3534
(727) 522-1061
(727) 528-7916
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/12/2014
Last updated
03/06/2015
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