Clermont Radiology LLC

NPI #1003328642 in Clermont, Florida

Provider Information

NPI Number
1003328642
Entity Type
Organization
Organization Name
Clermont Radiology LLC
Subpart
Yes (part of a larger organization)
Parent Organization
CLERMONT RADIOLOGY LLC
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Nov 3, 2017
Last Updated
Nov 3, 2017

Practice Location

Address
3725 SOUTH HIGHWAY 27
Address 2
SUITE 104
State
Florida
ZIP Code
34711
Phone
(352) 241-6100

Authorized Official

Name
MR. ROBERT S. KOLB
Title
PRESIDENT/CEO
Phone
(770) 833-1456

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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