Organization · NPI-2

Advanced Molecular Imaging Of Florida LLC

Clinic/Center, Radiology · Boca Raton, FL

NPI number1376716530
StatusActive
Last updated in NPPESApr 9, 2008

Details

NPI
1376716530
Entity type
Organization (NPI-2)
Legal business name
Advanced Molecular Imaging Of Florida LLC
Organization subpart
No
Enumeration date
Apr 9, 2008
Last updated
Apr 9, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0200X Clinic/Center, RadiologyME59548FLYes
2085D0003X Radiology, Diagnostic NeuroimagingME59548FL
2085B0100X Radiology, Body ImagingME59548FL
2085R0202X Radiology, Diagnostic RadiologyME59548FL
261Q00000X Clinic/CenterME59548FL

Practice location

2650 N Military Trl
Boca Raton, FL 33431-6350

Phone 954-557-8408

Mailing address

2650 N Military Trl
Boca Raton, FL 33431-6350

Phone 954-557-8408

Authorized official

Michael Fagien
Ceo
9545578408

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