TRI COUNTY PET LLC (NPI# 1760602510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760602510 |
| Entity Type | Organization |
| Organization Name | TRI COUNTY PET LLC |
| Other Organization Name | PET IMAGING INSTITUTE OF SOUTH FLORIDA |
| Practice Address |
603 N Flamingo Rd 155 Pembroke Pines FL 33028-1023 |
| Practice Telephone | 9544502202 |
| Practice Fax Number | 9544508401 |
| Mailing Telephone | 9544502202 |
| Mailing Fax Number | 9544508401 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | LISETTE CRUZ-DENO (MANAGING DIRECTOR) |
| Authorized Official Telephone | 9544502202 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRI COUNTY PET LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
HCC5508 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PET Imaging Institute of South Florida | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003318049 | Tri County Pet LLC | Clinic/Center | 2122 W. Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309 | 2018-03-06 |
| 1124020656 | Tri County Pet LLC | Clinic/Center | 1150 N 35th Ave, Suite 665, Hollywood, FL 33021-5424 | 2005-08-15 |
| Street Address |
603 N FLAMINGO RD 155 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33028-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376535484 | Fausto A De La Cruz | Internal Medicine | 603 N Flamingo Rd, #357, Pembroke Pines, FL 33028-1023 | 2005-08-16 |
| 1457717639 | Jessica Ketterer | Psychologist | 603 N Flamingo Rd, Suite 151, Pembroke Pines, FL 33028-1023 | 2016-01-04 |
| 1922470814 | Adriana Abuchar | Physician Assistant | 603 N Flamingo Rd, Suite 350, Pembroke Pines, FL 33028 | 2015-10-30 |
| 1760853030 | Lauren F Hodges | Physician Assistant | 603 N Flamingo Rd, Suite 358, Pembroke Pines, FL 33028-1023 | 2015-10-13 |
| 1578932687 | South Broward Hospital District | Internal Medicine | 603 N Flamingo Rd, Suite 159, Pembroke Pines, FL 33028-1023 | 2015-09-18 |
| 1720454879 | Sheyla Galban | Physician Assistant | 603 N Flamingo Rd, Suite 260, Pembroke Pines, FL 33028-1023 | 2015-08-12 |
| 1568877843 | Limor Oz | General Acute Care Hospital | 603 N Flamingo Rd, Pembroke Pines, FL 33028-1023 | 2014-06-25 |
| 1417384983 | Carmen Daniela Connolly | Physician Assistant | 603 N Flamingo Rd, Suite 357, Pembroke Pines, FL 33028-1023 | 2013-09-30 |
| 1316208291 | Adiene Caridad Murillo | Clinical Nurse Specialist | 603 N Flamingo Rd, Suite 157, Pembroke Pines, FL 33028-1023 | 2012-06-06 |
| 1457619207 | Ximena Guimet | Physician Assistant | 603 N Flamingo Rd, 357, Pembroke Pines, FL 33028-1023 | 2012-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
| 1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
| 1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
| 1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
| 1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
| 1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
| 1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
| 1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
| 1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
| 1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
| Find all providers in zip 33028 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053223 | Sheridan-pines Mri, LLC | Clinic/Center | 19442 Sheridan Street, Pembroke Pines, FL 33332 | 2020-11-06 |
| 1053346643 | Pembroke Pines Mri Inc | Clinic/Center | 10950 Pines Blvd, Pembroke Pines, FL 33026-5216 | 2006-07-11 |
| 1114989209 | Open Magnetic Imaging of Pembroke Pines Ltd | Clinic/Center | 330 S. Flamingo Road, Pembroke Pines, FL 33027 | 2006-04-04 |
| 1518361948 | Solangie Machado | Clinic/Center | 330 S Flamingo Rd, Pembroke Pines, FL 33027-1770 | 2014-10-14 |
| 1114321551 | Diagnsotic Medical Imaging of Pembroke Pines LLC | Clinic/Center | 330 S Flamingo Rd, Pembroke Pines, FL 33027-1770 | 2014-10-14 |
| 1841434149 | Midtown Imaging, LLC. | Clinic/Center | 700 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026-5206 | 2009-04-30 |
| 1447268776 | Roberto L Maldonado | Clinic/Center | 9050 Pines Blvd, Suite 200, Pembroke Pines, FL 33024-6455 | 2006-08-03 |
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|---|---|---|---|---|
| 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 |
| 1992260566 | Precious Moments 3d - 4d LLC | Clinic/Center | 5336 Us Highway 98 N, Lakeland, FL 33809-0517 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
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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.