ADVANCED IMAGING OF PORT CHARLOTTE


Address: 2625 Tamiami Trail, Unit 1, Port Charlotte, FL 33952
Phone: 9412354646

ADVANCED IMAGING OF PORT CHARLOTTE (NPI# 1225361850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225361850
Entity Type Organization
Organization Name ADVANCED IMAGING OF PORT CHARLOTTE
Practice Address 2625 Tamiami Trail
Unit 1
Port Charlotte
FL 33952
Practice Telephone 9412354646
Practice Fax Number 9412354667
Mailing Telephone 9412354646
Mailing Fax Number 9412354667
Enumeration Date 2009-09-15
Last Update Date 2009-10-28
Authorized Official Name MR. THOMAS FABIAN (MEDICAL DIRECTOR)
Authorized Official Telephone 9412354646
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
HCC6183 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 2625 TAMIAMI TRAIL
UNIT 1
City PORT CHARLOTTE
State FL
Zip Code 33952

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700486552 Arrow Medical LLC Durable Medical Equipment & Medical Supplies 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 2020-10-30
1376009621 David Alan Mowry Massage Therapist 3148 Whiting Lane, Port Charlotte, FL 33952 2019-02-12
1124527189 Aegis Group Practice, LLC Physical Therapist 2500 Aaron Street, Port Charlotte, FL 33952 2018-02-06
1255856118 All Powered Mobility, LLC Durable Medical Equipment & Medical Supplies 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 2017-08-11
1366994915 Julianne Kumar Physical Medicine & Rehabilitation 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 2016-10-31
1659729549 The Gathering Place LLC Licensed Practical Nurse 3459 Depew Ave, Port Charlotte, FL 33952 2016-06-01
1003222183 Philip Lagamma Physical Therapist 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 2014-07-09
1184039695 Nathan E Shipley Driver 2338 Alton Rd., Port Charlotte, FL 33952 2014-06-23
1619318219 Nic 4 Royal Palm Leasing LLC Assisted Living Facility 2500 Aaron St., Port Charlotte, FL 33952 2013-07-11
1225306475 Tamjo Inc Hearing Instrument Specialist 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 2011-12-02
Find all providers in zip 33952

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457662280 Michael Lee Clark Radiology 3430 Tamiami Trl Ste B, Port Charlotte, FL 33952-8148 2010-06-26
1619994456 Michael C Heagney Radiology 4550 Grassy Point Blvd, Port Charlotte, FL 33952-9179 2006-07-17
1851331623 Molecular Imaging of Charlotte County, LLC Radiology 4130 Tamiami Trl, Suite 101, Port Charlotte, FL 33952-9207 2006-06-08
1114973542 Margo H Roca Radiology 18451 Meyer Ave, Port Charlotte, FL 33948-8931 2006-05-26
1720068497 Fawcett Medical Imaging Pa Radiology 21298 Olean Blvd, Port Charlotte, FL 33952-6705 2006-01-19
1548248503 Stanley J Litvak Radiology 3430c Tamiami Trl, Port Charlotte, FL 33952-8127 2006-01-09
1831175561 James Edward White Radiology 3430 Tamiami Trl, Suite B, Port Charlotte, FL 33952-8127 2005-12-15
1568453892 Seaside Radiology Consultants Pa Radiology 3430 Tamiami Trail, Unit B, Port Charlotte, FL 33952 2005-11-04
1659365021 Advanced Imaging of Port Charlotte LLC Radiology 2625 Tamiami Trl, Unit 1, Port Charlotte, FL 33952-6478 2005-08-31
1164888954 American Imaging of Southwest Florida,inc Radiology 23081 Harborview Rd, Port Charlotte, FL 33980-2153 2016-01-08
Find all providers in PORT CHARLOTTE

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City PORT CHARLOTTE
Zip Code 33952

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Dataset Information

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.

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