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Organization

TRI COUNTY PET LLC

Active
Parent organization
TRI COUNTY PET LLC
Other names
PET Imaging Institute of South Florida
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRI COUNTY PET LLC
Authorized official
LISETTE CRUZ-DENO (MANAGING DIRECTOR)
(954) 450-2202
Entity
Organization

Contact information

Practice address
603 N FLAMINGO RD, 155, PEMBROKE PINES, FL 33028-1023
(954) 450-2202
(954) 450-8401
Mailing address
603 N FLAMINGO RD, 155, PEMBROKE PINES, FL 33028-1023
(954) 450-2202
(954) 450-8401

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC5508
FL

Other

Enumeration date
04/26/2007
Last updated
12/12/2013
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