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NPI Code Detail

MEDICARE: ADVANCED MEDICAL IMAGING CORP

MEDICARE: ADVANCED MEDICAL IMAGING CORP
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
12085R0202XDiagnostic Radiology PhysicianHCC5394FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AMI1000OTHERFLDOCTOR CARE
27352643OTHERFLAETNA
3V2918OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1528042314
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED MEDICAL IMAGING CORP
Provider Business Mailing Address
First Line : 15100 NW 67TH AVE
Second Line : SUITE 104
City : MIAMI LAKES
State : FL
Zip : 33014-2102
Country : US
Telephone Number : 305-817-3300
Fax Number : 305-817-3939
Provider Business Practice Location Address
First Line : 15100 NW 67TH AVE
Second Line : SUITE 104
City : MIAMI LAKES
State : FL
Zip : 33014-2102
Country : US
Telephone Number : 305-817-3300
Fax Number : 305-817-3939
Authorized Official
Title or Position : PRESIDENT
Name : MR. EDUARDO LAMAS
Credential :
Telephone Number : 305-817-3300
Provider Enumeration Date : 12/05/2005
Last Update Date : 04/02/2008

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Directions to “ADVANCED MEDICAL IMAGING CORP ” Practice Location

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