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PET LLC NPI 1235148578


NPI Information

NPI: 1235148578
Provider Name: PET LLC

Doing Business As: THE PET/CT IMAGING CENTER OF NORTHWEST FLORIDA

Classification: Radiology - 2085N0904X
Entity Type: Organization

Specialization: Nuclear Radiology

Address:
5149 N 9TH AVE
STE 124
PENSACOLA, FL
ZIP 32504
Phone: (850) 478-6336
Get Directions

PET LLC is a nuclear radiology radiology in Pensacola, FL. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. PET LLC NPI is 1235148578. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Pet/ct Imaging Center Of Northwest Florida.

The provider's business location address is:

5149 N 9TH AVE
STE 124
PENSACOLA, FL
ZIP 32504-756
Phone: (850) 478-6336
Fax: (850) 478-6361

The provider's authorized official is Clark M. Pollitt .
The authorized official title is Managing Partner and has the following contact phone number (850) 478-6336.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 3/9/2020.


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
12085N0904XRadiologyNuclear Radiology3670 1FLORIDAYes

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
1V2974OTHERFLORIDABCBS OF FLORIDA
2G0905OTHERFLORIDAWELLCARE
3P00274147OTHERFLORIDARR MEDICARE

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

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