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SOUTH FLORIDA MEDICAL IMAGING PA NPI 1518945575


NPI Information

NPI: 1518945575
Provider Name: SOUTH FLORIDA MEDICAL IMAGING, PA
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 10D2039405

Address:
4725 N FEDERAL HWY
FT LAUDERDALE, FL
ZIP 33308
Phone: (954) 202-0277
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SOUTH FLORIDA MEDICAL IMAGING, PA is a diagnostic radiology radiology in Ft Lauderdale, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SOUTH FLORIDA MEDICAL IMAGING, PA NPI is 1518945575. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4725 N FEDERAL HWY
FT LAUDERDALE, FL
ZIP 33308-603
Phone: (954) 202-0277

The provider's authorized official is Michael Rush .
The authorized official title is President and has the following contact phone number (954) 636-2290.

The CLIA number assigned to this NPI record is 10D2039405 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2006 and was last updated on 8/3/2021.


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
12085B0100XRadiologyBody ImagingNo
22085D0003XRadiologyDiagnostic NeuroimagingNo
32085N0700XRadiologyNeuroradiologyNo
42085N0904XRadiologyNuclear RadiologyNo
52085P0229XRadiologyPediatric RadiologyNo
62085R0204XRadiologyVascular & Interventional RadiologyNo
72085U0001XRadiologyDiagnostic UltrasoundNo
82085R0202XRadiologyDiagnostic 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
1375943106MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.