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 | 2085B0100X | Radiology | Body Imaging | ME97951 | FLORIDA | No |
| 2 | 2085N0904X | Radiology | Nuclear Radiology | ME97951 | FLORIDA | No |
| 3 | 2085R0001X | Radiology | Radiation Oncology | ME97951 | FLORIDA | No |
| 4 | 2085R0202X | Radiology | Diagnostic Radiology | ME97951 | FLORIDA | No |
| 5 | 2085U0001X | Radiology | Diagnostic Ultrasound | ME97951 | FLORIDA | No |
| 6 | 2086S0129X | Surgery | Vascular Surgery | ME97951 | FLORIDA | No |
| 7 | 2086X0206X | Surgery | Surgical Oncology | ME97951 | FLORIDA | No |
| 8 | 208VP0000X | Pain Medicine | Pain Medicine | ME97951 | FLORIDA | No |
| 9 | 208VP0014X | Pain Medicine | Interventional Pain Medicine | ME97951 | FLORIDA | No |
| 10 | 2085R0204X | Radiology | Vascular & Interventional Radiology | ME97951 | FLORIDA | Yes |
| 11 | 174400000X | Specialist | | ME97951 | FLORIDA | No |
| 12 | 207U00000X | Nuclear Medicine | | ME97951 | FLORIDA | No |
| 13 | 207UN0901X | Nuclear Medicine | Nuclear Cardiology | ME97951 | FLORIDA | No |
| 14 | 207UN0902X | Nuclear Medicine | Nuclear Imaging & Therapy | ME97951 | FLORIDA | No |