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Lakeside Edx Llc
Radiology Clinic/Center in Miramar Beach, Florida
NPI 1730763244

Lakeside Edx Llc is a Radiology Clinic/Center based in Miramar Beach, FL and is specialized in Radiology. Lakeside Edx Llc practices in Miramar Beach, FL. The NPI Number for Lakeside Edx Llc is 1730763244 and holds a License No. (Florida).

The current practice location address for Lakeside Edx Llc is 495 Grand Blvd Ste 206, Miramar Beach, FL and can be reached out via phone at 800-416-1767.

Location: 495 Grand Blvd Ste 206, Miramar Beach, FL, 32550-1897
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730763244
Provider Name
Lakeside Edx Llc
Credential
Provider Entity Type
Organization
Address
495 Grand Blvd Ste 206, Miramar Beach, FL, 32550-1897
Phone Number
800-416-1767
Fax Number
Provider Enumeration Date
05/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
495 Grand Blvd Ste 206
City
Miramar Beach
State
Florida
Zip
32550-1897
Phone Number
800-416-1767
Fax Number
person
Provider Business Mailing Address Details
Address
495 Grand Blvd Ste 206
City
Miramar Beach
State
Florida
Zip
32550-1897
Phone Number
800-416-1767
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
()
Definition
Definition to come...
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