Organization
SOUTHEAST RADIOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD R SIX M.D. (PRESIDENT)
(813) 689-8702
Entity
Organization
Contact information
Practice address
618 VINTAGE WAY, BRANDON, FL 33511-6366
(813) 689-8702
(813) 684-6392
Mailing address
618 VINTAGE WAY, BRANDON, FL 33511-6366
(813) 689-8702
(813) 684-6392
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
—
FL
Other
Enumeration date
05/03/2007
Last updated
08/27/2009
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