FAWCETT IMAGING PORT CHARLOTTE PA

PORT CHARLOTTE, FL
NPI1710215728
Entity TypeOrganization
Authorized ContactRAMANAN VENKAT
President
810-230-9215
Organization Subpart ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
Enumeration Date2009-12-02
Last Update Date2009-12-02
Business Address
FAWCETT IMAGING PORT CHARLOTTE PA
21298 OLEAN BLVD
PORT CHARLOTTE, FL 33952-6705
Phone number: 810-230-9215
Mailing Address
FAWCETT IMAGING PORT CHARLOTTE PA
2325 STONEBRIDGE DR
FLINT, MI 48532-5407
Phone number: 810-230-9215
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