Organization
RADIOLOGY OF MSMC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE CHUTKAN (VP OF FINANCE)
(305) 674-2662
Entity
Organization
Contact information
Practice address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
(305) 503-5610
Mailing address
PO BOX 11550, MIAMI, FL 33101-1550
(305) 674-2680
(305) 674-3919
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME104939
FL
2085R0203X
Therapeutic Radiology Physician
ME104939
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME104939
FL
Other
Enumeration date
10/18/2011
Last updated
09/22/2021
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