Florida Superior Imaging Inc

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

HCC6347 Issued in FL

Legal business name

FLORIDA SUPERIOR IMAGING INC

Practice address

1100 Sunset Strip
Suite 4
Sunrise, FL 33313-6197

Phone

(954) 446-0354

Fax

(305) 446-0384

NPI assigned

Jan 18, 2012

Organization subpart

No

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

Authorized official

Name

Moody Dubreuze

Title

President

Phone

(954) 446-0354

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1114298429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SUNSET STRIP",
            "address_2": "SUITE 4",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333136197",
            "telephone_number": "954-446-0354",
            "fax_number": "305-446-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SUNSET STRIP",
            "address_2": "SUITE 4",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333136197",
            "telephone_number": "954-446-0354",
            "fax_number": "305-446-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA SUPERIOR IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "DUBREUZE",
        "authorized_official_first_name": "MOODY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-446-0354"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "FL",
            "license": "HCC6347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "HCC6347",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Institute of Health LTD LLLP
• Florida Institute of Health LTD LLLP
• Florida Med Equip Corp
• Florida Senior Care, Inc
• Florida Strong Physical Therapy LLC
• Florida United Radiology, LC
• Ellen D Flukman, MS.CCC-SLP
• Jacob Foley
• Ginna Paola Fominaya Pardo, APRN
• Jacqueline Fonseca, DMD

• Mobile Radiology Clinic/Center in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Mobile Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.