Healthcare Provider Details

I. General information

NPI: 1497709430
Provider Name (Legal Business Name): NAVIX IMAGING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 02/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19541 TOLEDO BLADE BLVD
PT CHARLOTTE FL
33948-2081
US

IV. Provider business mailing address

19541 TOLEDO BLADE BLVD
PT CHARLOTTE FL
33948-2081
US

V. Phone/Fax

Practice location:
  • Phone: 941-629-9729
  • Fax: 941-743-0736
Mailing address:
  • Phone: 941-629-9729
  • Fax: 941-743-0736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberHCC4109
License Number StateFL

VIII. Authorized Official

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