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U.S. MOBILE DIAGNOSTIC LLC NPI 1093769531


NPI Information

NPI: 1093769531
Provider Name: U.S. MOBILE DIAGNOSTIC, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3907 N FEDERAL HWY
SUITE 112
POMPANO BEACH, FL
ZIP 33064
Phone: (954) 461-8624
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U.S. MOBILE DIAGNOSTIC, LLC is a podiatrist in Pompano Beach, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. U.S. MOBILE DIAGNOSTIC, LLC NPI is 1093769531. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3907 N FEDERAL HWY
SUITE 112
POMPANO BEACH, FL
ZIP 33064-042
Phone: (954) 461-8624
Fax: (954) 596-8132

The provider's authorized official is Jeffrey John Trantalis .
The authorized official title is Co-owner/medical Director and has the following contact phone number (954) 461-8624.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 10/15/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristHCC6512FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HCC6512OTHERFLORIDASTATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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