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Organization

ACK-TEN GROUP LLC

Active
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Organization

ACK-TEN GROUP LLC

Active
Other names
Seacrest MRI Of Wellington
Organization subpart
No

Provider details

NPI number
Authorized official
JORDAN LITTEN (PRESIDENT)
(561) 739-9674
Entity
Organization

Contact information

Practice address
10140 W FOREST HILL BLVD, WELLINGTON, FL 33414-6111
(561) 798-7350
(561) 798-7354
Mailing address
2828 S SEACREST BLVD, SUITE 202, BOYNTON BEACH, FL 33435-7944
(561) 739-9674
(561) 739-9688

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC4567
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274204700
FL
01
V2825
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/23/2005
Last updated
09/18/2012
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