Organization
NORTHERN LIGHT RADIOLOGY ASSOCIATES INC
Active
Organization
NORTHERN LIGHT RADIOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK SANTORE JR. (CEO)
(813) 924-1577
Entity
Organization
Contact information
Practice address
1895 TYLER ST STE 207, HOLLYWOOD, FL 33020-4828
(747) 202-9238
Mailing address
1895 TYLER ST STE 207, HOLLYWOOD, FL 33020-4828
(747) 202-9238
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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