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DOCTORS IMAGING GROUP LLC VASCULAR AND INTERVENTIONAL PHYSICIANS OFFIC NPI 1477563484


NPI Information

NPI: 1477563484
Provider Name: DOCTORS IMAGING GROUP LLC VASCULAR AND INTERVENTIONAL PHYSICIANS OFFIC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
6685 NW 9TH BLVD
GAINESVILLE, FL
ZIP 32605
Phone: (352) 333-7847
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DOCTORS IMAGING GROUP LLC VASCULAR AND INTERVENTIONAL PHYSICIANS OFFIC is a vascular and interventional radiology radiology in Gainesville, 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. DOCTORS IMAGING GROUP LLC VASCULAR AND INTERVENTIONAL PHYSICIANS OFFIC NPI is 1477563484. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6685 NW 9TH BLVD
GAINESVILLE, FL
ZIP 32605-206
Phone: (352) 333-7847
Fax: (352) 333-0990

The provider's authorized official is Dan E Ware .
The authorized official title is President/ Practicing Physician and has the following contact phone number (352) 331-9729.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 5/2/2008.


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
1259303304MEDICAIDFLORIDA
2259303300MEDICAIDFLORIDA
345280MEDICARE ID-TYPE UNSPECIFIEDFLORIDAGROUP
4CK3155OTHERFLORIDARRMC GROUP
5270855OTHERFLORIDAAVMED GROUP
645280OTHERFLORIDABC GROUP

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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