Organization
RADIOLOGY PHYSICIANS OF INDIAN RIVER COUNTY LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA H DION (BUSINESS MANAGER)
(772) 410-0155
Entity
Organization
Contact information
Practice address
3725 11TH CIRCLE, VERO BEACH, FL 32960-4804
(772) 562-0163
(772) 567-5631
Mailing address
3725 11TH CIRCLE, VERO BEACH, FL 32960-4804
(772) 562-0163
(772) 567-5631
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038000800
—
FL
01
—
K4539
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
08/09/2005
Last updated
01/13/2010
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