Organization
RADIOLOGY EXPRESS POINCIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE CHRISTOPHER NEWTON ME50820 (MANAGER)
(407) 915-3564
Entity
Organization
Contact information
Practice address
1016 CYPRESS PKWY, KISSIMMEE, FL 34759-3328
(407) 915-3564
(407) 350-5967
Mailing address
1016 CYPRESS PKWY, KISSIMMEE, FL 34759-3328
(407) 915-3564
(407) 350-5967
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
ME50820
FL
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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