Healthcare Provider Details
I. General information
NPI: 1295648244
Provider Name (Legal Business Name): BROWARD IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2001 W SAMPLE RD STE 101B
DEERFIELD BEACH FL
33064-1342
US
IV. Provider business mailing address
2001 W SAMPLE RD STE 101B
DEERFIELD BEACH FL
33064-1342
US
V. Phone/Fax
- Phone: 786-567-7607
- Fax:
- Phone: 786-567-7607
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RM1200X |
| Taxonomy | Magnetic Resonance Imaging (MRI) Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TOMAS
LEVINTON
Title or Position: OWNER
Credential:
Phone: 786-567-7607