Organization
CENTERS FOR ADVANCED IMAGING INC
Active
Other names
Radiology Associates of Putnam Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT D BRANDON MD (PRESIDENT OWNER)
(386) 328-3559
Entity
Organization
Contact information
Practice address
3918 CRILL AVENUE, PALATKA, FL 32178
(386) 328-3559
(386) 328-3411
Mailing address
PO BOX 838, PALATKA, FL 32178-0838
(386) 328-3559
(386) 328-3411
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME68132
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2644754700
—
FL
Enumeration date
10/07/2006
Last updated
08/22/2020
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