Organization
SOUTHEASTERN IMAGING ASSOCIATES INC
Active
Organization
SOUTHEASTERN IMAGING ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD ENRIQUE GONZALEZ RDMS, RDCS, RVT (PRESIDENT)
(954) 325-3911
Entity
Organization
Contact information
Practice address
8461 LAKE WORTH RD, SUITE 235, LAKE WORTH, FL 33467-2474
(561) 422-3372
(561) 422-3377
Mailing address
8461 LAKE WORTH RD, SUITE 235, LAKE WORTH, FL 33467-2474
(561) 422-3372
(561) 422-3377
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
HCC8538
FL
Other
Enumeration date
04/20/2009
Last updated
01/18/2013
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