PHYSICIANS IMAGING CENTER OF FLORIDA LLC
Radiology at Johnson St, Hollywood, FL

License number
Florida HCC6490
Category
Radiology
Type
Diagnostic Radiology
Owner
Name: DR. HERBERT LOUIS SHICK MD
Title: MEDICAL DIRECTOR
Phone: (954) 964-3800
Address
Address 2
3800 Johnson St SUITE B, Hollywood, FL 33021
300 Jericho Quadrangle WEST SUITE 320, Muttontown, NY 11753
National Provider ID: 1427187459
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHYSICIANS IMAGING CENTER OF FLORIDA, LLC

Hollywood, FL

Industry:
Medical Doctor's Office
Registration:
Oct 6, 2006
Addresses:
3800 Johnson St B, Hollywood, FL 33021 (Physical)
4251 Mangrum Ct, Hollywood, FL 33021 (Mailing)
3800 Johnson St, Hollywood, FL 33021
State ID:
L06000098022
Business type:
Florida Limited Liability Company
Managers:
Herbert Lmd Shick (Manager), 4251 Mangrum Ct, Hollywood, FL 33021 (Physical),Rolla I Shick (Manager), 4251 Mangrum Ct, Hollywood, FL 33021 (Physical)
Agent:
Herbert Shick,4251 Mangrum Ct, Hollywood, FL 33021 (Physical)
EIN:
41-2218841

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