JUPITER EFL IMAGING CENTER LLC NPI 1871555482

NPI Information

  • NPI: 1871555482
  • Provider Name: JUPITER EFL IMAGING CENTER LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: JUPITER OPEN IMAGING CENTER
  • Address: 875 MILITARY TRL
    SUITE 101
    JUPITER, FL
    ZIP 33458
  • Phone: (561) 748-9828

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NPI Details

JUPITER EFL IMAGING CENTER LLC is a diagnostic radiology radiology in Jupiter, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. JUPITER EFL IMAGING CENTER LLC NPI is 1871555482. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jupiter Open Imaging Center.

The provider's business location address is:

875 MILITARY TRL
SUITE 101
JUPITER, FL
ZIP 33458-700
Phone: (561) 748-9828
Fax: (561) 748-2490

The provider's authorized official is Wanda Fogarty .
The authorized official title is Vp Imaging Services and has the following contact phone number (561) 838-3630.

The enumeration date for this NPI number is 4/6/2006 and was last updated on 5/18/2010.

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

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
1272378600MEDICAIDFLORIDA
2U4900MEDICARE UPINFLORIDA

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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