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General NPI Number Information
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NPI Number | 1013920073
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Entity Type | Organization
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Legal Business Name | FLORIDA MOBILE IMAGING SERVICES INC
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 3260 NW 7TH ST STE 102
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City | MIAMI
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State | FL
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Zip | 33125-4102
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Country | US
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Telephone | 305-649-0470
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Fax | 305-649-0620
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Provider Business Mailing Address
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Address Line | 3260 NW 7TH ST STE 102
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City | MIAMI
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State | FL
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Zip | 33125-4102
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Country | US
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Telephone | 305-649-0470
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Fax | 305-649-0620
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | SERGIO JULIAN ORTEGA
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Credential |
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Telephone | 305-649-0470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number |
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License Number State |
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