SUNCOAST MEDICAL IMAGING LLC (NPI# 1386069375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386069375 |
| Entity Type | Organization |
| Organization Name | SUNCOAST MEDICAL IMAGING LLC |
| Practice Address |
2700 N 29th Ave Unit 303a Hollywood FL 33020-1520 |
| Mailing Address |
9822 Tree Tops Lake Rd Tampa FL 33626-4764 |
| Practice Telephone | 3045495310 |
| Practice Fax Number | 6066440444 |
| Mailing Telephone | 3045495310 |
| Mailing Fax Number | 6066440444 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |
| Authorized Official Name | JOSEPH L SKEENS (PRESIDENT) |
| Authorized Official Telephone | 3045495310 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME64815 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2700 N 29TH AVE UNIT 303A |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225453384 | Multi Mobile Imaging LLC | Clinic/Center | 2700 N 29th Ave, Ste 303, Hollywood, FL 33020-1520 | 2014-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| 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 |
|---|---|---|---|---|
| 1750592978 | Charles Johnson II | Radiology | 4601 Washington St, Hollywood, FL 33021-7647 | 2007-05-28 |
| 1427187459 | Physicians Imaging Center of Florida LLC | Radiology | 3800 Johnson Street, Suite B, Hollywood, FL 33021 | 2007-03-05 |
| 1780763565 | Jaime Mejia | Radiology | 5920 Johnson St, Suite 104, Hollywood, FL 33021-5652 | 2006-11-03 |
| 1912953274 | Bernard Greenspan | Radiology | 3900 N Hills Dr, 214, Hollywood, FL 33021-2545 | 2006-05-26 |
| 1912957697 | Sunrise Medical Group Inc | Radiology | 4925 Sheridan St, 200, Hollywood, FL 33021-2829 | 2006-05-11 |
| 1770586877 | Michael Roberts | Radiology | 3620 N 55th Ave, Hollywood, FL 33021-2344 | 2005-05-23 |
| 1265040604 | Total Mri & Diagnostic Center | Radiology | 4440 Sheridan St Ste C, Hollywood, FL 33021-3535 | 2020-07-22 |
| 1225651136 | Wellcare Clinical Services LLC | Radiology | 4835 Hollywood Blvd, Hollywood, FL 33021-6548 | 2020-05-26 |
| 1235460999 | Occupational Performance Center Inc. | Radiology | 4925 Sheridan St, Suite 100, Hollywood, FL 33021-2834 | 2010-01-20 |
| 1578719738 | Charles Johnson II Md Pa | Radiology | 4601 Washington St, Hollywood, FL 33021-7647 | 2008-08-07 |
| 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.