Organization
SOUTHEAST MEDICAL IMAGING, SERVICES
Active
Other names
Southeast Medical Imaging, Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXIS CRUZ (OWNER)
(561) 865-3660
Entity
Organization
Contact information
Practice address
8615 COMMODITY CIR, ORLANDO, FL 32819-9071
(561) 865-3660
Mailing address
8615 COMMODITY CIR, ORLANDO, FL 32819-9071
(561) 865-3660
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
HCC4632
FL
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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