SUMMERLIN IMAGING CENTER LLC
Radiology at Barkley Cir, Fort Myers, FL

License number
Florida HCC4472
Category
Radiology
Type
Diagnostic Radiology
Owner
Name: MRS. B. ANNETTE MEREDITH NA
Title: DIR. CREDENTIALING & REIMBURSEMENT
Phone: (561) 471-4143
Address
Address
20 Barkley Cir SUITE 104, Fort Myers, FL 33907
National Provider ID: 1205888468
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SUMMERLIN IMAGING CENTER LLC at bizstanding.com

Summerlin Imaging

Ft Myers, FL  -  West Palm Beach, FL

Status:
Inactive
Doing business as:
SUMMERLIN IMAGING CENTER, LLC<br>Summerlin Imaging Center<br>Summerlin Imaging Ctr
Inactive reason:
REINSTATEMENT
Registration:
Nov 8, 2002
Inactive since:
Jan 19, 2011
Phone:
(239) 425-0370 (Phone)
Addresses:
20 Barkley Cir, Ft Myers, FL 33907
13199 Samoset Ct, West Palm Beach, FL 33414 (Mailing)
State ID:
L02000029942
Business type:
Florida Limited Liability Company
S:
Richard O Davis (Manager), 3208 W San Miguel, Tampa, FL 33629 (Physical),Kevin M Carroll (Manager), 13199 Samoset Ct, West Palm Beach, FL 33414 (Physical),B. Annette Meredith (Dir Credentialing & Reimbursement, Director, Principal),...
Agent:
Thomas Mcnamara,2909 Bay To Bay Blvd SUITE 309, Tampa, FL 33629 (Physical)
EIN:
54-2083178

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