SIMONMED IMAGING FLORIDA LLC NPI 1538739479

NPI Information

  • NPI: 1538739479
  • Provider Name: SIMONMED IMAGING FLORIDA LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: SIMONMED IMAGING ST PETERSBURG
  • CLIA Number: 10D2161545
  • Address: 840 DR MARTIN LUTHER KING JR ST N STE 100
    ST PETERSBURG, FL
    ZIP 33705
  • Phone: (727) 440-8250

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NPI Details

SIMONMED IMAGING FLORIDA LLC is a diagnostic radiology radiology in St Petersburg, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SIMONMED IMAGING FLORIDA LLC NPI is 1538739479. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Simonmed Imaging St Petersburg.

The provider's business location address is:

840 DR MARTIN LUTHER KING JR ST N STE 100
ST PETERSBURG, FL
ZIP 33705-214
Phone: (727) 440-8250

The provider's authorized official is Howard John Simon .
The authorized official title is Ceo/owner and has the following contact phone number (602) 809-6623.

The CLIA number assigned to this NPI record is 10D2161545 - other - outpatient med imaging with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2021 and was last updated on 2/3/2022.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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: 11/21/2025

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