IndividualActive
Jonathan Marx, R.R.A., R.T.(R)(ARRT
NPI 1952186108 · Radiology Practitioner Assistant · Lakeland, FL
Provider details
- NPI number
- 1952186108
- Entity type
- Individual
- Primary specialty
- Radiology Practitioner AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- R.R.A., R.T.(R)(ARRT
- Sex
- Male
- Sole proprietor
- No
- License
- RA61 (FL)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
2125 Crystal Grove Dr
Lakeland, FL 33801-6875
Phone: (863) 688-2334
Approximate (ZIP-level) locationGet directions
Mailing address
5723 Buck Run Dr
Lakeland, FL 33811-2038
Registry dates
- Enumerated
- 2023-08-28
- Last updated
- 2023-08-28
- Certified
- 2023-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.