Organization
RADIANT ROOTS
Active
Other names
R&R Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA JACQUES (OWNER)
(561) 388-3276
Entity
Organization
Contact information
Practice address
16302 STONEBROOK DR, SANFORD, FL 32773-4466
(561) 388-3276
Mailing address
16302 STONEBROOK DR, SANFORD, FL 32773-4466
(561) 388-3276
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
04/01/2024
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