Organization
PAVI DIAGNOSTIC CENTER, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN VILLALONGA (PRESIDENT)
(786) 332-3913
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD, SUITE 2J1, MIAMI, FL 33172-7018
(786) 332-3913
(786) 332-2835
Mailing address
175 FONTAINEBLEAU BLVD, SUITE 2J1, MIAMI, FL 33172-7018
(786) 332-3913
(786) 332-2835
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
ME81181
FL
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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