PREMIER DIAGNOSTIC CENTERS LLC (NPI# 1306104559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306104559 |
| Entity Type | Organization |
| Organization Name | PREMIER DIAGNOSTIC CENTERS LLC |
| Practice Address |
4310 Sheridan St Hollywood FL 33021-3554 |
| Mailing Address |
1600 S Federal Hwy Ste 390 Pompano Beach FL 33062-7553 |
| Practice Telephone | 9545892507 |
| Mailing Telephone | 9549428085 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |
| Authorized Official Name | DANNY FEDER (PRESIDENT) |
| Authorized Official Telephone | 9549428085 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
CH8093 | FL | Ambulatory Health Care Facilities |
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
CH8093 | FL | Ambulatory Health Care Facilities |
| Street Address |
4310 SHERIDAN ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669423356 | Mr Services I LLC | Clinic/Center | 4310 Sheridan St, Hollywood, FL 33021-3554 | 2006-05-15 |
| 1154552099 | David Lynn | Dentist | 4310 Sheridan St, Suite 201a, Hollywood, FL 33021-3554 | 2009-07-27 |
| 1205015674 | Katherine A Wintle | Physician Assistant | 4310 Sheridan St, Hollywood, FL 33021-3554 | 2007-11-01 |
| 1285646547 | Broward Institute of Orthopaedic Specialties LLC | Orthopaedic Surgery | 4310 Sheridan St, Hollywood, FL 33021-3554 | 2006-08-13 |
| 1033141304 | Marc Z Hammerman | Orthopaedic Surgery | 4310 Sheridan St, Hollywood, FL 33021-3554 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114389996 | Johnson Diagnostic Center Inc | Clinic/Center | 5917 Johnson St, Hollywood, FL 33021-5637 | 2016-03-22 |
| 1548622319 | Niyus Diagnostics Center Inc | Clinic/Center | 6200 Johnson St, Hollywood, FL 33024-5932 | 2016-03-22 |
| 1225453384 | Multi Mobile Imaging LLC | Clinic/Center | 2700 N 29th Ave, Ste 303, Hollywood, FL 33020-1520 | 2014-02-26 |
| 1376906537 | Radiology Imaging Facilities,llc | Clinic/Center | 3800 Johnson St Ste C, Hollywood, FL 33021-6030 | 2016-04-04 |
| 1508271248 | Plantation Open Mri LLC | Clinic/Center | 11011 Sheridan St, Hollywood, FL 33026-1505 | 2014-06-20 |
| 1669819793 | Imaging Teknix, LLC | Clinic/Center | 3800 Johnson Street, Suite C, Hollywood, FL 33021 | 2013-05-30 |
| 1861744823 | Diagnostic Medical Imaging of Hollywood LLC | Clinic/Center | 6517 Taft St, Num 103, Hollywood, FL 33024-4008 | 2012-10-15 |
| 1124345715 | Diagnostics 4 Less, Inc. | Clinic/Center | 2216 N 20th Ave, Hollywood, FL 33020-2108 | 2010-04-23 |
| 1134364771 | Health Diagnostics of Miami, LLC. | Clinic/Center | 3440 Hollywood Blvd, Suite 110, Hollywood, FL 33021-6927 | 2008-12-11 |
| 1831342971 | Midtown Imaging, LLC. | Clinic/Center | 11011 Sheridan St, Suite 101, Hollywood, FL 33026-1505 | 2008-11-03 |
| Find all providers in HOLLYWOOD | ||||
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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.