Medical Imaging and Management Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

ME19375 Issued in FL

Legal business name

MEDICAL IMAGING AND MANAGEMENT INC

Practice address

2500 N Military TRL
Ste 1258
Boca Raton, FL 33431-6344

Phone

(813) 496-1075

Fax

(813) 249-7762

NPI assigned

Jun 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Norman Henry Pevsner, MDNPI 1609862077

Title

President

Phone

(813) 496-1075

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Norman Henry Pevsner, M.D.

  • Nuclear Medicine Physician
  • Coconut Creek, FL
  • NPI 1609862077
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1003012683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 GEORGE RD",
            "address_2": "STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347329",
            "telephone_number": "813-496-1075",
            "fax_number": "813-249-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MILITARY TRL",
            "address_2": "STE 1258",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316344",
            "telephone_number": "813-496-1075",
            "fax_number": "813-249-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING AND MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "PEVSNER",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-496-1075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "ME19375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Neurology of South Florida
• Medical Partners in Recovery, P.a.
• Medical Partners Management Group
• Medical Route Transportation
• Medical Sales & Consulting

• Radiology Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.