NPI: 1891757480 · LAKE WORTH, FL 33461 · Diagnostic Radiology Physician · NPI assigned 04/06/2006
| Authorized Official | FOGARTY, WANDA (VP IMAGING SERVICES) |
| NPI Enumeration Date | 04/06/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 24 | $1K |
| 2019 | 39 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 77067 | 63 | 57 | $3K |