Organization
MIDTOWN IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN G. JOHNSON (CFO)
(561) 697-3001
Entity
Organization
Contact information
Practice address
345 JUPITER LAKES BLVD, SUITE 100, JUPITER, FL 33458-7100
(561) 748-7477
(561) 209-6377
Mailing address
PO BOX 850001, ORLANDO, FL 32885-0364
(561) 697-3001
(561) 209-6377
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
FL
Other
Enumeration date
11/06/2006
Last updated
11/26/2007
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