Central Brevard Radiology Pa in Port St Lucie - Body Imaging
Central Brevard Radiology Pa - NPI 1932217759
Central Brevard Radiology Pa is a Body Imaging in Port St Lucie, Florida. Central Brevard Radiology Pa practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Central Brevard Radiology Pa is 1932217759. The last update date is 2012-02-09.
Central Brevard Radiology Pa's current location address is Po Box 881839, Port St Lucie, Florida. You can contact this provider via phone number 7278963134 and fax number 7706213181. The mailing address for Central Brevard Radiology Pa is Po Box 881839, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Brevard Radiology Pa |
|---|---|
| Address | Po Box 881839, Port St Lucie, Florida |
| Phone Number | 7278963134 |
| Fax Number | 7706213181 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hilleren J David |
| Credentials | MD |
| Telephone Number | 3217997192 |
NPI Number Detail
| NPI Number | 1932217759 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2012-02-09 |
Provider Mailing Address Detail
| Address | Po Box 881839 |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349881839 |
| Phone Number | 7278963134 |
| Fax Number | 7706213181 |
Provider's Primary Taxonomy Detail
| Speciality | Body Imaging |
|---|---|
| Taxonomy | 2085B0100X |
|
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39812 | FL | BLUE CROSS BLUE SHIELD | |
| CA4481 | FL | RR MEDICARE | |
| 58771100 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Central Brevard Radiology Pa by the Centers for Medicare & Medicaid Services?
The Central Brevard Radiology Pa has been issued the NPI (National Provider Identifier) 1932217759 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Central Brevard Radiology Pa is located?
The Central Brevard Radiology Pa is situated at the following address: Po Box 881839, Port St Lucie, FL, 349881839.
What is Central Brevard Radiology Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Central Brevard Radiology Pa's specialized field of practice is Body Imaging, and the corresponding taxonomy code that categorizes this area of specialization is 2085B0100X.
When was the Central Brevard Radiology Pa's 1932217759 issued?
The Central Brevard Radiology Pa's 1932217759 was issued on 2006-08-29.
As of what date were the details related to Central Brevard Radiology Pa most recently updated or revised?
The information pertaining to Central Brevard Radiology Pa, including its address, specialty, and other relevant details, was last updated or revised on 2012-02-09.