Organization
RADIOLOGY OF MSMC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE CHUTKAN (SR VP OF FINANCE)
(305) 674-2121
Entity
Organization
Contact information
Practice address
1501 W HORATIO ST APT 224, TAMPA, FL 33606-2591
(561) 758-7384
Mailing address
PO BOX 11550, MIAMI, FL 33101-1550
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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