National P E T Scan Broward LLC

NPI #1194728014 in Ft Lauderdale, Florida

Provider Information

NPI Number
1194728014
Entity Type
Organization
Organization Name
National P E T Scan Broward LLC
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
May 24, 2005
Last Updated
Dec 5, 2012

Practice Location

Address
6290 N FEDERAL HWY
State
Florida
ZIP Code
33308-1917
Phone
(954) 332-3000

Authorized Official

Name
MS. MARGIE FAYE AUSTIN
Title
ADMINISTRATIVE ASSISTANT
Phone
(904) 358-8441

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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