Organization
PRIME RADIOLOGY OF MOUNT DORA, INC
Active
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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