SOUTHEAST MEDICAL IMAGING SERVICES INC (NPI# 1124010855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124010855 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST MEDICAL IMAGING SERVICES INC |
| Practice Address |
4800 Linton Blvd Suite D-503 Delray Beach FL 33445-6584 |
| Practice Telephone | 5618653660 |
| Practice Fax Number | 5618653661 |
| Mailing Telephone | 5618653660 |
| Mailing Fax Number | 5618653661 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2013-02-21 |
| Authorized Official Name | MR. ALEXIS F CRUZ (PRESIDENT) |
| Authorized Official Telephone | 5618653660 |
| Authorized Official Credential | RDMS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
4800 LINTON BLVD SUITE D-503 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33445-6584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598508 | Heidi Erickson | Pediatrics | 4800 Linton Blvd, Suite D502a, Delray Beach, FL 33445-6584 | 2005-06-17 |
| 1710426135 | Amanda Tabetha Fuller | Physical Therapist | 4800 Linton Blvd, Suite F116, Delray Beach, FL 33445-6584 | 2017-02-17 |
| 1558810721 | Detox of Delray, LLC | Rehabilitation, Substance Use Disorder Unit | 4800 Linton Blvd, C, Delray Beach, FL 33445-6584 | 2016-09-28 |
| 1245784321 | Lauren Roscoe | Nurse Practitioner | 4800 Linton Blvd, Suite F-107, Delray Beach, FL 33445-6584 | 2016-08-07 |
| 1508229410 | Us Surgical of Delray LLC | Surgery | 4800 Linton Blvd, Suite E301, Delray Beach, FL 33445-6584 | 2016-03-30 |
| 1225402464 | Imaging Center of West Palm Beach,llc | Clinic/Center | 4800 Linton Blvd, Suite A-203, Delray Beach, FL 33445-6584 | 2015-11-28 |
| 1740654094 | Zdravko Bozhidarov Otsetarski | Physical Therapy Assistant | 4800 Linton Blvd, Building F, Suit 116, Delray Beach, FL 33445-6584 | 2015-11-24 |
| 1396115762 | Vanessa Vasquez | Specialist | 4800 Linton Blvd, Bldg 201-a, Delray Beach, FL 33445-6584 | 2015-09-29 |
| 1780087031 | Neuroscience Specialists | Pediatrics | 4800 Linton Blvd, Suite D502a, Delray Beach, FL 33445-6584 | 2014-10-01 |
| 1851656987 | Sari L Lane | Physical Therapist | 4800 Linton Blvd, Suite F116, Delray Beach, FL 33445-6584 | 2012-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894839 | Timothy Joseph Marten Jr. | Physical Therapist | 601 N Congress Ave 411, Delray Beach, FL 33445 | 2019-08-01 |
| 1881252948 | Three Dots LLC | Behavioral Analyst | 1300 Nw 17th Ave Ste 272, Delray Beach, FL 33445 | 2019-06-04 |
| 1437649951 | Cardinal Care Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 601 N Congress Ave Ste 110b, Delray Beach, FL 33445 | 2018-05-10 |
| 1437654001 | Yvonne Marie Venton | Speech-Language Pathologist | 1221 Nw 19th Ter, Delray Beach, FL 33445 | 2018-03-27 |
| 1265935183 | Robert J Pina | Physical Therapist | 4800 Linton Blvd., Bldg. A-201, Delray Beach, FL 33445 | 2018-03-16 |
| 1447771159 | Julian Ibrahim Rashid | Pharmacist | 3030 Dorson Way, Delray Beach, FL 33445 | 2017-07-03 |
| 1285179333 | Sara Davis-larkins | Behavioral Analyst | 2061 Coral Trace Circle, Delray Beach, FL 33445 | 2016-12-28 |
| 1255876637 | Annette Annmarie Gray | Case Manager/Care Coordinator | 3624 Ave De Gien, Delray Beach, FL 33445 | 2016-12-21 |
| 1093262586 | Gordium Mental Health | Counselor | 4723 W Atlantic Ave St 21, Delray Beach, FL 33445 | 2016-09-01 |
| 1003279993 | Ted Paul | Home Health Aide | 2127 Sw 13 Ct, Delray Beach, FL 33445 | 2016-03-30 |
| Find all providers in zip 33445 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902154156 | Sheridan Radiology Services of South Florida, Inc. | Radiology | 5130 Linton Blvd., Delray Beach, FL 33484-6596 | 2012-08-20 |
| 1376891523 | Sheridan Radiology Services of South Florida, Inc. | Radiology | 15340 Jog Road, Suite 101, Delray Beach, FL 33446-2170 | 2012-08-20 |
| 1922388016 | Florida United Radiology, Lc | Radiology | 9738 Napoli Woods Ln, Delray Beach, FL 33446-9743 | 2011-08-22 |
| 1255594289 | Avery J Knapp Jr. | Radiology | 3031 Jasmine Ct, Delray Beach, FL 33483-4701 | 2008-07-09 |
| 1629192018 | Luzmarie Buonomo | Radiology | 815 Eastview Ave, Delray Beach, FL 33483-5968 | 2007-03-19 |
| 1134243611 | Madhavi Battineni Kaza | Radiology | 16299 Bristol Pointe Dr, Delray Beach, FL 33446-2364 | 2007-03-19 |
| 1144378993 | Altamonte Springs Diagnostic Imaging Inc | Radiology | 601 N. Congress Ave, Suite 311, Delray Beach, FL 33445-4621 | 2007-01-08 |
| 1245255249 | Danny S Sperling | Radiology | 4205 W Atlantic Avenue, Building D (401), Delray Beach, FL 33445 | 2006-07-12 |
| 1356301477 | Joel Berman | Radiology | 935 Gardenia Dr, Delray Beach, FL 33483-4806 | 2006-03-24 |
| 1740256304 | Lorna Sohn Williams | Radiology | 16129 Bristol Pointe Dr, Delray Beach, FL 33446-2357 | 2006-02-24 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33445 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.