PHYSICIANS IMAGING -- LAKE CITY LLC
Radiology at Hall Of Fame Dr, Lake City, FL

License number
Florida HCC7889
Category
Ambulatory Health
Type
Radiology
Owner
Name: DR. ELIAS J GERTH MD
Title: CEO
Phone: (352) 383-8800
Address
Address
404 NW Hall Of Fame Dr, Lake City, FL 32055
National Provider ID: 1588855027
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PHYSICIANS IMAGING -- LAKE CITY LLC at bizstanding.com

PHYSICIANS IMAGING - LAKE CITY, LLC

Lake City, FL  -  Key West, FL

Industry:
Medical Doctor's Office
Registration:
Jun 18, 2007
Addresses:
404 NW Hall Of Fame Dr, Lake City, FL 32055 (Physical)
Key West, FL 33045 (Mailing)
PO Box 2908, Key West, FL 33045
State ID:
M07000003684
Business type:
Foreign Limited Liability Company
Entity State:
DE
Chairman, CFOs:
Physicians Imaging, Llc (Manager), 3735 Lk Ctr Dr, Mount Dora, FL 32757 (Physical),John H. Mcdonald Chairman, CFO, inactive
Agent:
Elias Gerth,2505 Flagler Ave, Key West, FL 33040 (Physical)
EIN:
20-5949657

Radiology licenses in Florida










Other Doctors licenses in Florida