TRI COUNTY PET LLC (NPI# 1003318049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003318049 |
| Entity Type | Organization |
| Organization Name | TRI COUNTY PET LLC |
| Other Organization Name | PET IMAGING INSTITUTE OF SOUTH FL. |
| Practice Address |
2122 W. Cypress Creek Road Suite 210 Fort Lauderdale FL 33309 |
| Mailing Address |
1150 N 35th Ave Ste 665 Hollywood FL 33021-5432 |
| Practice Telephone | 9549816668 |
| Mailing Telephone | 9549816668 |
| Mailing Fax Number | 9549815944 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | LISETTE CRUZ-DENO (MANAGING DIRECTOR) |
| Authorized Official Telephone | 9549816668 |
| Is Organization Subpart | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
HCC5507 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003906001 | 05 | |
| FL | 003906000 | 05 | |
| FL | FLORIDA BLUE | V2440 | 01 |
| Other Name | Type Code |
|---|---|
| PET Imaging Institute of South Fl. | Doing Business As Name - Organization |
| TRI County PET, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760602510 | Tri County Pet LLC | Clinic/Center | 603 N Flamingo Rd, 155, Pembroke Pines, FL 33028-1023 | 2007-04-26 |
| 1124020656 | Tri County Pet LLC | Clinic/Center | 1150 N 35th Ave, Suite 665, Hollywood, FL 33021-5424 | 2005-08-15 |
| Street Address |
2122 W. CYPRESS CREEK ROAD SUITE 210 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942841507 | Integrity Home Care Plus LLC | In Home Supportive Care | 1451 W Cypress Road Ste 300, Fort Lauderdale, FL 33309 | 2019-10-04 |
| 1518519875 | Jordanna Bettencourt | Behavior Technician | 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 | 2019-07-16 |
| 1114579752 | Jewel Porter | Behavior Technician | 1000 Nw 65th St., Suite #201, Fort Lauderda, FL 33309 | 2019-07-14 |
| 1821508722 | Rose Marie Cecile Dyer | Home Health Aide | 4217 Nw 37th Terrace, Lauderdale Lakes, FL 33309 | 2017-10-05 |
| 1245756790 | Kattys Elena Mendoza | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-16 |
| 1669902847 | Sharon Desir | Social Worker | 2700 West Cypress Creek Road, Executive Court, B-106, Fort Lauderdale, FL 33309 | 2017-06-19 |
| 1184158503 | Rebecca Robin Washington | Behavioral Analyst | 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 | 2017-04-12 |
| 1124564281 | Alloy Behavioral Health Solutions, Inc | Specialist | 1835 S Perimeter Road Suite 170, Fort Lauderdale, FL 33309 | 2017-01-13 |
| 1740738855 | Christina Camarena | Behavior Technician | 6414 Nw 5th Way, Fort Lauderdale, FL 33309 | 2016-09-18 |
| 1407302045 | Broward Health | Rehabilitation Unit | 1800 Sw 5th Place, Ft. Lauderdale, FL 33309 | 2016-09-01 |
| Find all providers in zip 33309 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235237355 | Mri Scan Center LLC | Clinic/Center | 3122 E Commercial Blvd, Fort Lauderdale, FL 33308-4327 | 2006-09-20 |
| 1083676175 | Omi Ct of Fort Lauderdale Inc | Clinic/Center | 841 E Commercial Blvd, Fort Lauderdale, FL 33334 | 2006-04-04 |
| 1366852873 | North Broward Hospital District | Clinic/Center | 1601 S Andrews Ave, Suite 136, Fort Lauderdale, FL 33316 | 2014-05-06 |
| 1467669267 | Robert L. Kagan M.d., P.a. | Clinic/Center | 3122 E Commercial Blvd, Fort Lauderdale, FL 33308-4327 | 2007-05-17 |
| 1962626218 | Md Readers, Inc. | Clinic/Center | 3122 E Commercial Blvd, Fort Lauderdale, FL 33308-4327 | 2007-04-11 |
| 1194949412 | Sunshine Readers, Inc. | Clinic/Center | 3122 E Commercial Blvd, Fort Lauderdale, FL 33308-4327 | 2007-04-11 |
| 1194787291 | Omi of Fort Lauderdale Inc | Clinic/Center | 841 E Commercial Blvd, Fort Lauderdale, FL 33334 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053223 | Sheridan-pines Mri, LLC | Clinic/Center | 19442 Sheridan Street, Pembroke Pines, FL 33332 | 2020-11-06 |
| 1114535762 | Coral Hills Imaging LLC | Clinic/Center | 9690 W Sample Rd Ste 103, Coral Springs, FL 33065-4031 | 2020-07-20 |
| 1659990364 | Provectus Health LLC | Clinic/Center | 3972 Durksly Dr, Melbourne, FL 32940-1286 | 2020-04-13 |
| 1619500881 | Adventhealth West Florida Imaging, Inc. | Clinic/Center | 305 E Brandon Blvd Ste B, Brandon, FL 33511-5222 | 2020-02-17 |
| 1831736768 | Bria Group Inc | Clinic/Center | 880 Nw 13th St Ste 100, Boca Raton, FL 33486-2342 | 2019-12-10 |
| 1235770686 | Clermont Radiology LLC | Clinic/Center | 18 Ne 1st Ave, Ocala, FL 34470-6658 | 2019-10-07 |
| 1609422146 | Dis of Tampa Bay Inc | Clinic/Center | 3635 W Waters Ave, Tampa, FL 33614-2783 | 2019-08-12 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1417518481 | Ohri, LLC | Clinic/Center | 5151 Winter Garden Vineland Road., Suite 104, Windermere, FL 34786 | 2019-06-21 |
| 1093273971 | Alfa Diagnostic LLC | Clinic/Center | 21355 E Dixie Hwy Ste 107, Aventura, FL 33180-1239 | 2019-03-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33309 |
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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.