Organization Active NPI

Divine Breast Imaging LLC

  • Radiology Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1164359238
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
DIVINE BREAST IMAGING LLC
Practice address
4336 4TH St N Ste B
Saint Petersburg, FL 33703-4701
Phone
(727) 692-6596
NPI assigned
May 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Robert Galiardo
Title
Coo
Phone
(727) 608-3013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

4336 4TH St N Ste B
Saint Petersburg, FL 33703-4701

Mailing address

4336 4TH St N Ste B
Saint Petersburg, FL 33703-4701

National Provider Directory

National Provider Directory

Locations

4336 4th St N
Ste B
Saint Petersburg, FL 33703
Phone (727) 692-6596

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1164359238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 4TH ST N STE B",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337034701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4336 4TH ST N STE B",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337034701",
            "telephone_number": "727-692-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE BREAST IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "GALIARDO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "727-608-3013"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.