MEDICARE: NORTH COUNTY IMAGING

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
1	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1053358929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH COUNTY IMAGING

Provider Business Mailing Address
First Line	:	2555 PONCE DE LEON BLVD
Second Line	:	4TH FLOOR
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-6010
Country	:	US
Telephone Number	:	305-702-5135
Fax Number	:	305-441-2144

Provider Business Practice Location Address
First Line	:	3360 BURNS RD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4323
Country	:	US
Telephone Number	:	561-622-1411
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRIAN YOUNG
Credential	:	MD
Telephone Number	:	561-622-1411

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	10/12/2007

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Directions to “NORTH COUNTY IMAGING ” Practice Location

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