Organization
MOBILE X IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO ANDREZ CANDELARIA RT (RADIOLOGIC TECHNOLOGIST)
(786) 339-1603
Entity
Organization
Contact information
Practice address
4900 SAINT HELENA RD, LAKE WALES, FL 33898-7520
(786) 339-1603
Mailing address
4900 SAINT HELENA RD, LAKE WALES, FL 33898-7520
(786) 339-1603
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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