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General NPI Number Information
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NPI Number | 1275453250
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Entity Type | Organization
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Legal Business Name | JCM RADIOLOGY LLC
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 2500 SW 75TH AVE
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City | MIAMI
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State | FL
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Zip | 33155-2805
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Country | US
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Telephone | 561-926-0239
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Fax |
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Provider Business Mailing Address
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Address Line | 21272 ESCONDIDO WAY S
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City | BOCA RATON
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State | FL
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Zip | 33433-2523
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Country | US
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Telephone | 561-926-0239
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. CHRISTOPHER PUCHFERRAN
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Credential | MD
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Telephone | 561-926-0239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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