Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Radiology Regional Center, PA

Organization Diagnostic Radiology Physician · NPI 1174299978

Radiology Regional Center, PA provides Diagnostic Radiology Physician services in Bonita Springs, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9776 Bonita Beach Rd SE Ste 100
Bonita Springs, FL 34135-4773
Phone: (239) 444-2200
Fax: (239) 444-2210
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1174299978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Krivisky — Ceo · (239) 936-2316
NPI enumeratedAugust 20, 2021
Last updated in NPPESAugust 20, 2021
Certification dateAugust 20, 2021
Mailing address3660 Broadway, Fort Myers, FL 33901-8005

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