Healthcare Provider Details

I. General information

NPI: 1598910515
Provider Name (Legal Business Name): MEDFUND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2008
Last Update Date: 11/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20880 W DIXIE HWY SUITE 111
MIAMI FL
33180-1151
US

IV. Provider business mailing address

20880 W DIXIE HWY SUITE 111
MIAMI FL
33180-1151
US

V. Phone/Fax

Practice location:
  • Phone: 305-933-9565
  • Fax: 305-933-8105
Mailing address:
  • Phone: 305-933-9565
  • Fax: 305-933-8105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALAN BABITZ
Title or Position: SVP
Credential:
Phone: 941-925-3490