Organization
PRIME RADIOLOGY OF MOUNT DORA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BROWN MD (OWNER)
(321) 732-8487
Entity
Organization
Contact information
Practice address
6909 OLD HIGHWAY 441 S, MOUNT DORA, FL 32757-7039
(321) 732-8487
(321) 348-5777
Mailing address
6909 OLD HIGHWAY 441 S, MOUNT DORA, FL 32757-7039
(321) 732-8487
(321) 348-5777
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME62144
FL
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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