Organization
TOMOKA DIAGNOSTIC INC.
Active
Other names
Tomoka Mobile MRI Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN AUGUST ORTOLANI M.D. (CEO)
(386) 274-3620
Entity
Organization
Contact information
Practice address
1510 MASON AVE, DAYTONA BEACH, FL 32117-4549
(386) 274-5676
(386) 274-3605
Mailing address
1510 MASON AVE, DAYTONA BEACH, FL 32117-4549
(386) 274-5676
(386) 274-3605
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
JR3724900
FL
Other
Enumeration date
12/05/2006
Last updated
08/22/2020
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