Healthcare Provider Details

I. General information

NPI: 1275453250
Provider Name (Legal Business Name): JCM RADIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 SW 75TH AVE
MIAMI FL
33155-2805
US

IV. Provider business mailing address

21272 ESCONDIDO WAY S
BOCA RATON FL
33433-2523
US

V. Phone/Fax

Practice location:
  • Phone: 561-926-0239
  • Fax:
Mailing address:
  • Phone: 561-926-0239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER PUCHFERRAN
Title or Position: MANAGER
Credential: MD
Phone: 561-926-0239