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A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Body Imaging |
2085B0100X | |||
Diagnostic Neuroimaging |
2085D0003X | |||
Diagnostic Ultrasound |
2085U0001X | |||
Neuroradiology |
2085N0700X | |||
Nuclear Radiology |
2085N0904X | |||
Pediatric Radiology |
2085P0229X | |||
Vascular & Interventional Radiology |
2085R0204X | 94 | Physician/Interventional Radiology |
| NPI Number | 1841421021 |
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| LBN Legal business name | MEMORIAL HEALTH SYSTEMS INC. | ||||
| Authorized official | CORY DOMAYER - (CFO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/05/2009 | ||||
| Last updated | 03/03/2021 - About 5 years ago | ||||
| Identifiers |
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MEMORIAL HEALTH SYSTEMS INC.
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| EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC 5440 S WILLIAMSON BLVD PORT ORANGE, FL |
| KRISHNAN GOPAL, MD 551 NATIONAL HEALTH CARE DRIVE DAYTONA BEACH, FL |
| WILLIAM HOLLER, MD 350 N CLYDE MORRIS BLVD DAYTONA BEACH, FL |
| EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC 5440 S. WILLIAMSON BLVD PORT ORANGE, FL |
| JOHNNY BERNARD JR MD LLC 6029 OLD KINGS ROAD PALM COAST, FL |
| JOHNNY R BERNARD JR, M.D. 6029 OLD KINGS RD PALM COAST, FL |
| WILLIAM A JOHNSON 1815 FOREST HILL . LAKE CLARK SHORES, FL |
| SAVANNAH AVERY 860 US-1 NORTH PALM BEACH, FL |
| PRAVA LIMBU, DO 20900 BISCAYNE BOULEVARD ADVENTURA, FL |
| CAROLE S ZAWID, APRN, PHD 6000 ISLAND BLVD ADVENTURA, FL |
MEMORIAL HEALTH SYSTEMS INC.