Organization
HOMESTEAD DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOMAS GONZALEZ (PRESIDENT)
(305) 246-5600
Entity
Organization
Contact information
Practice address
650 NE 22ND TER STE 100, HOMESTEAD, FL 33033-4710
(305) 246-5600
(305) 246-1320
Mailing address
650 NE 22ND TER STE 100, HOMESTEAD, FL 33033-4710
(305) 785-1048
(305) 246-1320
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
13-64-06259
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256719900
—
FL
01
—
266961
AVMED
FL
01
—
V2443
BCBS
FL
Enumeration date
07/24/2006
Last updated
07/02/2025
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