MEDICARE: PDI HEALTH FL LLC

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	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

General Provider Information

NPI Number	:	1952924565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PDI HEALTH FL LLC

Provider Business Mailing Address
First Line	:	12 SPENCER ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-1891
Country	:	US
Telephone Number	:	516-517-4716
Fax Number	:	877-686-1540

Provider Business Practice Location Address
First Line	:	200 9TH AVE N STE 21010
Second Line	:
City	:	SAFETY HARBOR
State	:	FL
Zip	:	34695-3500
Country	:	US
Telephone Number	:	800-749-9729
Fax Number	:	877-686-1540

Authorized Official
Title or Position	:	CEO
Name	:	MENACHEM TAUBER
Credential	:
Telephone Number	:	516-517-4823

Provider Enumeration Date	:	05/19/2020
Last Update Date	:	05/20/2026

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Directions to “PDI HEALTH FL LLC ” Practice Location

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