Healthcare Provider Details

I. General information

NPI: 1184681181
Provider Name (Legal Business Name): NAVIX IMAGING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 02/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2852 TAMIAMI TRL
PT CHARLOTTE FL
33952-5125
US

IV. Provider business mailing address

2852 TAMIAMI TRL
PT CHARLOTTE FL
33952-5125
US

V. Phone/Fax

Practice location:
  • Phone: 941-629-9729
  • Fax: 941-637-3873
Mailing address:
  • Phone: 941-629-9729
  • Fax: 941-637-3873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberHCC4110
License Number StateFL

VIII. Authorized Official

Name: MR. MILES E GILMAN
Title or Position: PRESIDENT
Credential:
Phone: 305-665-1197