MEDICARE: PRESGAR IMAGING OF CMI SOUTH LC

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
1	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center	HCC7367	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	470001596	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1497732788
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESGAR IMAGING OF CMI SOUTH LC

Provider Business Mailing Address
First Line	:	PO BOX 1505
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33780-1505
Country	:	US
Telephone Number	:	727-342-2363
Fax Number	:	727-342-0025

Provider Business Practice Location Address
First Line	:	4860 SW 72ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-5526
Country	:	US
Telephone Number	:	305-663-2800
Fax Number	:	305-662-3881

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS/OWNER
Name	:	RICHARD THORPE
Credential	:
Telephone Number	:	727-342-2363

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	06/17/2009

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1124087614 — MICHAEL S THORPE MD
Practice Location Address:

4860 SW 72ND AVE
MIAMI, FL
33155-5526

Practice Phone: 786-888-8066
Practice Fax:

1063934115 — IDEAL DENTAL, INC.
Practice Location Address:

4868 SW 72ND AVE
MIAMI, FL
33155-5526

Practice Phone: 305-771-0874
Practice Fax:

1720586944 — IDEAL DENTAL CLINICAL OPERATIONS
Practice Location Address:

4868 SW 72ND AVE
MIAMI, FL
33155-5526

Practice Phone: 305-771-0874
Practice Fax:

1912888264 — JANNET VAZQUEZ MACHADO
Practice Location Address:

4860 SW 72ND AVE STE 303
MIAMI, FL
33155-5526

Practice Phone: 305-591-1606
Practice Fax: 305-591-1618

1801264619 — PARADISE GROUP HOME AT NMB
Practice Location Address:

1334 NE 151ST ST
NORTH MIAMI BEACH, FL
33162-5526

Practice Phone: 305-608-8784
Practice Fax: 305-608-8784

Directions to “PRESGAR IMAGING OF CMI SOUTH LC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.