Clermont Radiology LLC

NPI #1235770686 in Ocala, Florida

Provider Information

NPI Number
1235770686
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
Oct 7, 2019
Last Updated
Oct 7, 2019

Practice Location

Address
18 NE 1ST AVE
City
Ocala
State
Florida
ZIP Code
34470-6658
Phone
(352) 241-6100

Authorized Official

Name
MR. CARMEN RESTIVO
Title
CREDENTIALING/COMPLIANCE MANAGER
Phone
(352) 241-6100

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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