Organization
MOBILE IMAGING OF ST LUCIE COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSANNA CRAWFORD RN (OWNER)
(772) 569-9729
Entity
Organization
Contact information
Practice address
120 66TH AVE SW, VERO BEACH, FL 32968-9706
(772) 569-9729
(772) 569-2769
Mailing address
120 66TH AVE SW, VERO BEACH, FL 32968-9706
(772) 569-9729
(772) 569-2769
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
JR28288000
FL
Other
Enumeration date
08/09/2005
Last updated
10/01/2010
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