NPI 1972039857

Radiology Express Poinciana LLC

Organisation Exclusive Provider Organization Kissimmee, FL

Practice location

Address: 1016 Cypress Pkwy, Kissimmee, FL 34759-3328
Phone: (407) 915-3564
Fax: (407) 350-5967

Authorised official

Name: Dale Christopher Newton
Title: Manager
Phone: (407) 915-3564

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence ME50820 (FL)

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Registry record

NPI: 1972039857
Entity type: Organization
NPI issued: 11 May 2017
Record last updated: 11 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.