GUARDIAN MOBILE IMAGING
Ambulatory Health at Bender Ave, Daytona Beach, FL

License number
Florida CRT 83448
Category
Ambulatory Health
Type
Radiology, Mobile
Owner
Name: MR. JEOVANNI TORRES CRT
Title: OWNER
Phone: (386) 589-9829
Address
Address
1339 Bender Ave, Daytona Beach, FL 32117
National Provider ID: 1851794770
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GUARDIAN MOBILE IMAGING, LLC

1339 Bender Ave, Daytona Beach, FL 32117

Registration:
Oct 6, 2014
State ID:
L14000155448
Business type:
Florida Limited Liability Company
S:
Jeovanni Torres, 1339 Bender Ave, Daytona Beach, FL 32117 (Physical),Keri K Rassi, 12 Woodshire Ln, Palm Coast, FL 32164 (Physical)
Agent:
Torres, Jeovanni,1339 Bender Ave, Daytona Beach, FL 32117 (Physical)
EIN:
NO-NE

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