MOODY DUBREUZE NPI 1194317875

NPI Information

  • NPI: 1194317875
  • Provider Name: MOODY DUBREUZE
  • Classification: Radiology - 2085B0100X
  • Specialization: Body Imaging
  • Entity Type: Individual
  • Address: 2453 N STATE ROAD 7
    LAUDERDALE LAKES, FL
    ZIP 33313
  • Phone: (954) 533-4846

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NPI Details

Moody Dubreuze is a body imaging radiology in Lauderdale Lakes, FL. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. Moody Dubreuze NPI is 1194317875. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2453 N STATE ROAD 7
LAUDERDALE LAKES, FL
ZIP 33313-723
Phone: (954) 533-4846

The enumeration date for this NPI number is 2/4/2021 and was last updated on 2/4/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085B0100XRadiologyBody ImagingHCC12481FLORIDAYes

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: 11/21/2025

NPI Synchronization or Removal

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