Active NPI
Florida Radiology Specialists, P.L.
- Diagnostic Radiology Physician
- Stuart, FL
National Provider Identifier
1114250453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- FLORIDA RADIOLOGY SPECIALISTS, P.L.
- Practice address
- 3301 Eventide PL
Stuart, FL 34994-9143 - Phone
- (561) 736-1200
- Fax
- (561) 742-1919
- NPI assigned
- Sep 17, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph T Charles, MD
- Title
- Partner
- Phone
- (561) 736-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
3301 Eventide PL
Stuart, FL 34994-9143
Mailing address
200 Knuth Rd
Ste 200
Boynton Beach, FL 33436-4693
Phone (561) 736-1200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0026694-00 | Medicaid | FL | |
| DQ7718 | Other | FL | RAILROAD MEDICARE |
| 001LK | Other | FL | BCBS OF FLORIDA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Ann Arbor, MI
- NPI 1801039219
-
- Diagnostic Radiology Physician
- Washington, DC
- NPI 1902864341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310428800000",
"number": "1114250453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 KNUTH RD",
"address_2": "STE 200",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334364693",
"telephone_number": "561-736-1200",
"fax_number": "561-742-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 EVENTIDE PL",
"city": "STUART",
"state": "FL",
"postal_code": "349949143",
"telephone_number": "561-736-1200",
"fax_number": "561-742-1919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA RADIOLOGY SPECIALISTS, P.L.",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-17",
"last_updated": "2011-07-12",
"status": "A",
"authorized_official_last_name": "CHARLES",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "561-736-1200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0026694-00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DQ7718",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "001LK",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
- Florida Department of Health
- Florida Dermatology Specialists, PLLC
- Florida Em-I Medical Services PA
- Florida Gastroenterolgoy Specialists, P.a.
- Florida Ocular Prosthetics Inc
- Florida Restorative Medicine
- Florida Senior Acupuncture
- Florida Senior Rehab Services
- Florida Vision Institute Inc
- Florida Vision Optique Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.