Organization · NPI-2

20/20 Rad2, P.A.

Radiology, Diagnostic Radiology · Port Charlotte, FL

NPI number1437345733
StatusActive
Last updated in NPPESSep 20, 2007

Details

NPI
1437345733
Entity type
Organization (NPI-2)
Legal business name
20/20 Rad2, P.A.
Organization subpart
No
Enumeration date
Sep 20, 2007
Last updated
Sep 20, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology––Yes
2085R0204X Radiology, Vascular & Interventional Radiology––

Practice location

2400 Harbor Blvd Ste 7
Port Charlotte, FL 33952-5038

Phone 941-625-0677

Mailing address

2015 Alexander Dr
Dothan, AL 36301-3003

Phone 334-671-1696

Authorized official

Alberto M Righi
Managing Physician
9416250677

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