SW FLORIDA RADIOLOGY LLC NPI 1669997961

NPI Information

SW FLORIDA RADIOLOGY LLC is a diagnostic radiology radiology in Fort Myers, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SW FLORIDA RADIOLOGY LLC NPI is 1669997961. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3949 EVANS AVE STE 301B
FORT MYERS, FL
ZIP 33901-313
Phone: (239) 214-0633
Fax: (239) 204-2063

The provider's authorized official is Edgardo Castillo .
The authorized official title is Owner and has the following contact phone number (239) 770-6408.

The CLIA number assigned to this NPI record is 10D0711943 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2017 and was last updated on 8/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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