| Southeastern Imaging Associates Inc | |
|
8461 Lake Worth Rd Suite 235 Lake Worth FL 33467-2474 | |
| (561) 422-3372 | |
| (561) 422-3377 |
| Full Name | Southeastern Imaging Associates Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 8461 Lake Worth Rd, Lake Worth, Florida |
| Authorized Official Name and Position | Ronald Enrique Gonzalez (PRESIDENT) |
| Authorized Official Contact | 9543253911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Imaging Associates Inc 8461 Lake Worth Rd Suite 235 Lake Worth FL 33467-2474 Ph: (561) 422-3372 | Southeastern Imaging Associates Inc 8461 Lake Worth Rd Suite 235 Lake Worth FL 33467-2474 Ph: (561) 422-3372 |
| NPI Number | 1780828814 |
|---|---|
| Provider Enumeration Date | 04/20/2009 |
| Last Update Date | 01/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780828814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | HCC8538 (Florida) | Primary |
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