Organization
PRISM DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY GELMON (OWNER)
(800) 998-9777
Entity
Organization
Contact information
Practice address
1800 NW CORPORATE BLVD, #201, BOCA RATON, FL 33431-7336
(800) 998-9777
Mailing address
1800 NW CORPORATE BLVD, #201, BOCA RATON, FL 33431-7336
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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