MEDICARE: NUCLEAR MEDICINE SCANNING 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
1	261QR0200X	Radiology Clinic/Center	ME19375	FL

General Provider Information

NPI Number	:	1932195302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUCLEAR MEDICINE SCANNING INC

Provider Business Mailing Address
First Line	:	2540 METROCENTRE BLVD
Second Line	:	STE 1
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3137
Country	:	US
Telephone Number	:	561-478-0603
Fax Number	:

Provider Business Practice Location Address
First Line	:	2540 METROCENTRE BLVD
Second Line	:	STE 1
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3137
Country	:	US
Telephone Number	:	561-478-0603
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NORMAN HENRY PEVSNER
Credential	:	M.D.
Telephone Number	:	561-478-0603

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	12/11/2013

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