MR. ROBERSON RAYMOND (NPI# 1174842678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174842678 |
| Entity Type | Individual |
| Full Name | MR. ROBERSON RAYMOND |
| Credential | R.T., R.D.M.S. |
| Practice Address |
4123 Arthurium Ave Lantana FL 33462-3431 |
| Practice Telephone | 5615036331 |
| Mailing Telephone | 5615036331 |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
CRT 33569 | FL | Technologists, Technicians & Other Technical Service Providers |
| N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
37218 | FL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4123 ARTHURIUM AVE |
| City | LANTANA |
| State | FL |
| Zip Code | 33462-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265753271 | Sunshine Diagnostic Imaging, Inc | Clinic/Center | 4123 Arthurium Ave, Lantana, FL 33462-3431 | 2010-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669914529 | Yoel Noya | Radiologic Technologist | 5040 Nw 7th St Ste 714, Miami, FL 33126-3435 | 2016-11-09 |
| 1316309800 | Daytona Mri LLC | Radiologic Technologist | 125 Mason Ave, Daytona Beach, FL 32117-5017 | 2016-03-23 |
| 1457711129 | Nathaniel Skaggs | Radiologic Technologist | 1021 Palmer St, Orlando, FL 32801-4046 | 2016-02-24 |
| 1396110839 | Brian Register | Radiologic Technologist | 749 Cr 482n, Lake Panasoffkee, FL 33538-6007 | 2015-12-09 |
| 1497148423 | Laurel French | Radiologic Technologist | 4127 Se 23rd Ave, Ocala, FL 34480-7167 | 2015-03-16 |
| 1811245467 | Jose Suarez | Radiologic Technologist | 801 N Midland Dr, Deltona, FL 32725-5622 | 2012-08-29 |
| 1114211992 | Angel D Mora | Radiologic Technologist | 12420 Sw 192nd Ter, Miami, FL 33177-3800 | 2011-06-08 |
| 1285930792 | Maribel Quesada | Radiologic Technologist | 711 Nw 93rd Ave, Pembroke Pines, FL 33024-6332 | 2011-01-31 |
| 1699077313 | Pinnacle Interventional Center Inc. | Radiologic Technologist | 2380 Nw 7th St, Miami, FL 33125-3249 | 2010-12-01 |
| 1598906646 | Aurelio Bassa | Radiologic Technologist | 7522 N Cortez Ave, Tampa, FL 33614-2614 | 2009-03-19 |
| Find all providers with the same taxonomy | ||||
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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.