WEST FLORIDA PET SERVICES LLC NPI 1417953852

NPI Information

NPI: 1417953852
Provider Name: WEST FLORIDA PET SERVICES LLC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
427 SOUTH PARSONS AVE
SUITE 101
BRANDON, FL
ZIP 33511
Phone: (813) 315-2080
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WEST FLORIDA PET SERVICES LLC is a radiology and mobile clinic center in Brandon, FL. WEST FLORIDA PET SERVICES LLC NPI is 1417953852. The provider is registered as an organization entity type.

The provider's business location address is:

427 SOUTH PARSONS AVE
SUITE 101
BRANDON, FL
ZIP 33511-980
Phone: (813) 315-2080
Fax: (813) 315-2090

The provider's authorized official is William B. Rutherford .
The authorized official title is Senior Vp and has the following contact phone number (615) 309-2190.

The enumeration date for this NPI number is 6/21/2005 and was last updated on 8/31/2011.

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	Primary
1	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	No
2	261QR0200X	Clinic/Center	Radiology	No
3	261QR0206X	Clinic/Center	Radiology, Mammography	No
4	261QR0207X	Clinic/Center	Radiology, Mobile Mammography	No
5	261QR0208X	Clinic/Center	Radiology, Mobile	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	V3345	OTHER	FLORIDA	BCBS OF FL
2	BY687	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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