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Diagnostic Radiology Physician · PORT ST LUCIE, FL
Organization Active NPI 1639507585
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ✓ | EXEMPT | FL |
| Neuroradiology Physician | 2085N0700X | EXEMPT | FL |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.