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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