Randall Ira Brodsky in Lakewood Ranch - Diagnostic Radiology
Randall Ira Brodsky - NPI 1780666776
Randall Ira Brodsky is a Diagnostic Radiology in Lakewood Ranch, Florida. Randall Ira Brodsky practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Randall Ira Brodsky is 1780666776. The last update date is 2015-11-02.
Randall Ira Brodsky's current location address is 8374 Market St, Lakewood Ranch, Florida. You can contact this provider via phone number 9419554101 and fax number 9413589817. The mailing address for Randall Ira Brodsky is 8374 Market St, Lakewood Ranch, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Ira Brodsky |
|---|---|
| Address | 8374 Market St, Lakewood Ranch, Florida |
| Phone Number | 9419554101 |
| Fax Number | 9413589817 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1780666776 |
|---|---|
| Provider Enumeration Date | 2005-11-16 |
| Last Updated Date | 2015-11-02 |
Provider Mailing Address Detail
| Address | 8374 Market St |
|---|---|
| City | Lakewood Ranch |
| State | Florida (FL) |
| Post Code | 342025137 |
| Phone Number | 9419554101 |
| Fax Number | 9413589817 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | OS5172 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OS5172 | FL | LICENSE NO | |
| P01259667 | FL | RR MEDICARE | |
| 258671100 | FL | -- |
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What is the unique 10-digit identification code issued to Randall Ira Brodsky by the Centers for Medicare & Medicaid Services?
The Randall Ira Brodsky has been assigned the NPI (National Provider Identifier) 1780666776 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Randall Ira Brodsky located?
The Randall Ira Brodsky is located at 8374 Market St, Lakewood Ranch, FL 342025137.
What is the Randall Ira Brodsky's area of specialization and corresponding taxonomy classification?
The Randall Ira Brodsky's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780666776 to Randall Ira Brodsky?
The Centers for Medicare & Medicaid Services originally issued the 1780666776 to Randall Ira Brodsky on 2005-11-16.
As of what date were the details related to Randall Ira Brodsky most recently updated or revised?
The information pertaining to Randall Ira Brodsky, including its address, specialty, and other relevant details, was last updated or revised on 2015-11-02.