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NPI Code Detail

MEDICARE: FLORIDA MOBILE IMAGING SERVICES INC

MEDICARE: FLORIDA MOBILE IMAGING SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247100000XRadiologic Technologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013920073
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA MOBILE IMAGING SERVICES INC
Provider Business Mailing Address
First Line : 3260 NW 7TH ST STE 102
Second Line :
City : MIAMI
State : FL
Zip : 33125-4102
Country : US
Telephone Number : 305-649-0470
Fax Number : 305-649-0620
Provider Business Practice Location Address
First Line : 3260 NW 7TH ST STE 102
Second Line :
City : MIAMI
State : FL
Zip : 33125-4102
Country : US
Telephone Number : 305-649-0470
Fax Number : 305-649-0620
Authorized Official
Title or Position : VICE PRESIDENT
Name : SERGIO JULIAN ORTEGA
Credential :
Telephone Number : 305-649-0470
Provider Enumeration Date : 08/14/2006
Last Update Date : 06/10/2008

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Directions to “FLORIDA MOBILE IMAGING SERVICES INC ” Practice Location

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