Organization
ACK-TEN GROUP LLC
Active
Organization
ACK-TEN GROUP LLC
Active
Other names
Seacrest Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN LITTEN (PRESIDENT)
(561) 739-9674
Entity
Organization
Contact information
Practice address
2404 B SOUTH SEACREST BLVD, BOYNTON BEACH, FL 33435-6704
(561) 739-9674
(561) 739-9688
Mailing address
2404 B SOUTH SEACREST BLVD, BOYNTON BEACH, FL 33435-6704
(561) 739-9674
(561) 739-9688
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC 4504
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200338
HEALTHEASE
—
01
—
V2514
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/07/2005
Last updated
10/28/2008
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