PALM BEACH FLUOROSCOPY SERVICES LLC NPI 1417137639

NPI Information

  • NPI: 1417137639
  • Provider Name: PALM BEACH FLUOROSCOPY SERVICES LLC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • CLIA Number: 10D1064987
  • Address: 1 ORTHOPAEDIC PL
    SUITE 200
    ST AUGUSTINE, FL
    ZIP 32086
  • Phone: (561) 630-6277

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NPI Details

PALM BEACH FLUOROSCOPY SERVICES LLC is a radiology clinic center in St Augustine, FL. PALM BEACH FLUOROSCOPY SERVICES LLC NPI is 1417137639. The provider is registered as an organization entity type.

The provider's business location address is:

1 ORTHOPAEDIC PL
SUITE 200
ST AUGUSTINE, FL
ZIP 32086-202
Phone: (561) 630-6277
Fax: (561) 630-6062

The provider's authorized official is Donna Scroggins .
The authorized official title is Coo and has the following contact phone number (561) 630-6277.

The CLIA number assigned to this NPI record is 10D1064987 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 11/5/2007.

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
1261QR0200XClinic/CenterRadiologyHCC6899FLORIDAYes

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
1U2190AMEDICARE PINFLORIDA

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: 3/30/2025

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