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1114177961
ERAD IMAGING SERVICES PLLC
PORT CHARLOTTE, FL
NPI
1114177961
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Entity Type
Organization
Authorized Contact
MARK E GONWA
Sole Member
561-795-9150
Organization Subpart ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
Enumeration Date
2008-09-29
Last Update Date
2008-09-29
Business Address
ERAD IMAGING SERVICES PLLC
2500 HARBOR BLVD
PORT CHARLOTTE, FL 33952-5000
Phone number: 941-766-4122
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Mailing Address
ERAD IMAGING SERVICES PLLC
4440 PGA BLVD SUITE 402
PALM BEACH GARDENS, FL 33410-6539
Phone number: 561-795-9150
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