Organization
RADIOLOGY CONSULTANTS, PA
Active
Parent organization
RADIOLOGY CONSULTANTS, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADIOLOGY CONSULTANTS, PA
Authorized official
MRS. ELIZABETH DEANNA LEPERE BS (ASSISTANT ADMINISTRATOR)
(863) 293-1071
Entity
Organization
Contact information
Practice address
40100 HIGHWAY 27, DAVENPORT, FL 33837-5906
(863) 422-4971
Mailing address
PO BOX 2317, WINTER HAVEN, FL 33883-2317
(863) 293-1071
(863) 295-9383
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00297
MEDICARE
FL
Enumeration date
08/07/2007
Last updated
08/07/2007
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