Provider Type Icon

SIMONMED IMAGING FLORIDA LLC NPI 1811567894


NPI Information

NPI: 1811567894
Provider Name: SIMONMED IMAGING FLORIDA LLC

Doing Business As: SIMONMED IMAGING PORT CHARLOTTE

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 10D2161048

Address:
4161 TAMIAMI TRL BLDG 2 UNIT 204
PORT CHARLOTTE, FL
ZIP 33952
Phone: (941) 235-3280
Get Directions

SIMONMED IMAGING FLORIDA LLC is a diagnostic radiology radiology in Port Charlotte, 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 1811567894. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Simonmed Imaging Port Charlotte.

The provider's business location address is:

4161 TAMIAMI TRL BLDG 2 UNIT 204
PORT CHARLOTTE, FL
ZIP 33952-204
Phone: (941) 235-3280

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 10D2161048 - other - outpatient medical imagin with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2021 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: 5/5/2024

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.