CANCER SERVICES OF AVENTURA LLC NPI 1790973063

NPI Information

NPI: 1790973063
Provider Name: CANCER SERVICES OF AVENTURA LLC

Doing Business As: AVENTURA COMPREHENSIVE CANCER CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
20950 NE 27TH CT
AVENTURA, FL
ZIP 33180
Phone: (305) 682-2151
Get Directions

CANCER SERVICES OF AVENTURA LLC is a diagnostic radiology radiology in Aventura, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CANCER SERVICES OF AVENTURA LLC NPI is 1790973063. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Aventura Comprehensive Cancer Center.

The provider's business location address is:

20950 NE 27TH CT
AVENTURA, FL
ZIP 33180-232
Phone: (305) 682-2151
Fax: (305) 792-5851

The provider's authorized official is Joan R Gladney .
The authorized official title is Regional Director and has the following contact phone number (352) 474-6190.

The enumeration date for this NPI number is 10/11/2007 and was last updated on 5/2/2012.

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
1	2085R0202X	Radiology	Diagnostic Radiology			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	AG987	MEDICARE PIN	FLORIDA
2	00575	OTHER	FLORIDA	BCBS
3	DN4845	OTHER	FLORIDA	RR MEDICARE
4	279822100	MEDICAID	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: 5/5/2024

NPI Synchronization or Removal

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