ICS RADIOLOGY, INC. (NPI# 1063760288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063760288 |
| Entity Type | Organization |
| Organization Name | ICS RADIOLOGY, INC. |
| Practice Address |
345 Jupiter Lakes Blvd Ste 100 Jupiter FL 33458-7100 |
| Mailing Address |
Po Box 452095 Sunrise FL 33345-2095 |
| Practice Telephone | 5617487477 |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | GILBERT L DROZDOW (PRESIDENT) |
| Authorized Official Telephone | 9548382371 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225372907 | Ics Radiology, Inc. | Radiology | 411 Sweet Bay Ave, Plantation, FL 33324-8228 | 2012-11-19 |
| 1447509773 | Ics Radiology, Inc. | Radiology | 5000 West Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2012-08-31 |
| 1184088833 | Ics Radiology, Inc. | Radiology | 3020 Ne 32nd Ave, Apt 910, Fort Lauderdale, FL 33308-7221 | 2016-04-08 |
| 1558792002 | Ics Radiology, Inc. | Radiology | 2001 W 68th St, Hialeah, FL 33016-1801 | 2013-12-10 |
| 1104268580 | Ics Radiology, Inc. | Radiology | 901 Village Blvd Ste 702, West Palm Beach, FL 33409-1947 | 2013-07-25 |
| 1841534310 | Ics Radiology, Inc. | Radiology | 1619 Harrison Pkwy, Suite D2, Sunrise, FL 33323-2856 | 2012-11-21 |
| 1114261898 | Ics Radiology, Inc. | Radiology | 50 S Pointe Dr, Suite 503, Miami Beach, FL 33139-4767 | 2012-11-19 |
| 1508100298 | Ics Radiology, Inc. | Radiology | 1100 Nw 95th St, Miami, FL 33150-2038 | 2012-11-19 |
| 1336483106 | Ics Radiology, Inc. | Radiology | 3200 N Ocean Blvd, Suite 802, Fort Lauderdale, FL 33308-7152 | 2012-11-19 |
| 1518201292 | Ics Radiology, Inc. | Radiology | 2065 Ne 204th St, Miami, FL 33179-2218 | 2012-11-19 |
| Street Address |
345 JUPITER LAKES BLVD STE 100 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-7100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| 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 |
|---|---|---|---|---|
| 1598937104 | Bruce A Rodan Md Pa | Radiology | 111 Waterbridge Ln, Jupiter, FL 33458-7743 | 2008-03-24 |
| 1538248653 | Peter M Fitzer | Radiology | 115 Ocean Key Way, Jupiter, FL 33477-7359 | 2006-11-02 |
| 1659475705 | Kishorchandra J Parekh | Radiology | 134 Rosalia Ct, Jupiter, FL 33478-5405 | 2006-09-11 |
| 1972536241 | Marvin A Kupersmit | Radiology | 333 Regatta Dr, Jupiter, FL 33477-4077 | 2006-07-09 |
| 1831145218 | Michael Key D.o. | Radiology | 12530 152nd St N, Jupiter, FL 33478-3557 | 2006-05-26 |
| 1225027592 | Kyle R. Gormezano | Radiology | 500 Peacock Ln N, Jupiter, FL 33458-8333 | 2005-10-19 |
| 1477553428 | Michael A Gangloff | Radiology | 120 Sweet Bay Cir, Jupiter, FL 33458-2816 | 2005-07-29 |
| 1083943930 | Advanced Diagnostic Resources | Radiology | 500 University Blvd, Suite 114, Jupiter, FL 33458-2773 | 2009-12-23 |
| 1578756524 | Jose M. Fragoso | Radiology | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2007-08-23 |
| 1366481079 | Keith L Mullenger | Radiology | 875 Military Trl, Jupiter, FL 33458-5700 | 2006-06-06 |
| Find all providers in JUPITER | ||||
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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.