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NPI Code Detail

MEDICARE: SID IMAGING INC

MEDICARE: SID IMAGING INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0200XRadiology Clinic/CenterME31479FL

General Provider Information

NPI Number : 1033159181
Entity Type Code : Organization
Provider Name (Legal Business Name) : SID IMAGING INC
Provider Business Mailing Address
First Line : 7899 TALAVERA PL
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33446-4322
Country : US
Telephone Number : 561-498-3248
Fax Number :
Provider Business Practice Location Address
First Line : 7899 TALAVERA PL
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33446-4322
Country : US
Telephone Number : 561-498-3248
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : SANFORD DAVIS
Credential : MD
Telephone Number : 561-498-3248
Provider Enumeration Date : 06/07/2006
Last Update Date : 08/22/2020

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Directions to “SID IMAGING INC ” Practice Location

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