NATIONAL P E T SCAN BROWARD LLC NPI 1194728014

NPI Information

NPI: 1194728014
Provider Name: NATIONAL P E T SCAN BROWARD LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
6290 N FEDERAL HWY
FT LAUDERDALE, FL
ZIP 33308
Phone: (954) 332-3000
Get Directions

NATIONAL P E T SCAN BROWARD LLC is a radiology clinic center in Ft Lauderdale, FL. NATIONAL P E T SCAN BROWARD LLC NPI is 1194728014. The provider is registered as an organization entity type.

The provider's business location address is:

6290 N FEDERAL HWY
FT LAUDERDALE, FL
ZIP 33308-917
Phone: (954) 332-3000
Fax: (954) 332-2671

The provider's authorized official is Margie Faye Austin .
The authorized official title is Administrative Assistant and has the following contact phone number (904) 358-8441.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 12/5/2012.

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
1	261QR0200X	Clinic/Center	Radiology	HCC5688	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	196704	OTHER	FLORIDA	WELLCARE
2	7441285	OTHER	FLORIDA	AETNA - PPO
3	V2274	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD FL
4	2630670	OTHER	FLORIDA	AETNA - HMO
5	6958176-001	OTHER	FLORIDA	CIGNA
6	SG011169	OTHER	FLORIDA	VISTA
7	CK2451	OTHER	FLORIDA	MEDICARE RAILROAD RETIREM
8	38830	OTHER	FLORIDA	NEIGHBORHOOD
9	593688943	OTHER	FLORIDA	TRICARE
10	593688943	OTHER	FLORIDA	HUMANA
11	67826	OTHER	FLORIDA	FOUNDATION
12	E5432	MEDICARE PIN	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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