Organization
ST LUCIE DIAGNOSTIC CENTER INC
Active
Organization
ST LUCIE DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KISHOR PAREKH MD (OWNER)
(772) 468-4435
Entity
Organization
Contact information
Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(772) 468-4435
(772) 871-7822
Mailing address
PO BOX 880009, PORT ST LUCIE, FL 34988-0009
(772) 468-4435
(772) 871-7822
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0043667
FL
Other
Enumeration date
08/09/2006
Last updated
08/22/2020
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