Radiology Regional Center Professional Services LLC
NPI #1619365772 in Fort Myers, Florida
Provider Information
- NPI Number
- 1619365772
- Entity Type
- Organization
- Organization Name
- Radiology Regional Center Professional Services LLC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Dec 24, 2014
- Last Updated
- Jun 18, 2020
Practice Location
- Address
- 13681 DOCTORS WAY
- City
- Fort Myers
- State
- Florida
- ZIP Code
- 33912-4300
- Phone
- (239) 343-1000
Authorized Official
- Name
- BRIAN A KRIVISKY, MD
- Title
- PRESIDENT
- Phone
- (239) 931-6376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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