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S J DEPRIMA MD RADIOLOGY PA NPI 1285075499


NPI Information

NPI: 1285075499
Provider Name: S J DEPRIMA MD RADIOLOGY PA
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
6129 SW 70TH ST
SOUTH MIAMI, FL
ZIP 33143
Phone: (786) 871-6826
Get Directions

S J DEPRIMA MD RADIOLOGY PA is a vascular and interventional radiology radiology in South Miami, FL. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. S J DEPRIMA MD RADIOLOGY PA NPI is 1285075499. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6129 SW 70TH ST
SOUTH MIAMI, FL
ZIP 33143-451
Phone: (786) 871-6826

The provider's authorized official is Steven Joseph Deprima .
The authorized official title is President and has the following contact phone number (786) 871-6826.

The enumeration date for this NPI number is 7/16/2013 and was last updated on 7/16/2013.


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
12085R0204XRadiologyVascular & Interventional RadiologyYes

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
1374522800MEDICAIDFLORIDA

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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