Roberson Raymond, R.T., R.D.M.S.

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

CRT 33569 Issued in FL

Practice address

4123 Arthurium Ave
Lantana, FL 33462-3431

Phone

(561) 503-6331

NPI assigned

May 24, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sunshine Diagnostic Imaging, Inc

  • Mobile Radiology Clinic/Center
  • Lantana, FL
  • NPI 1265753271
  NPD (past) Authorized official

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1174842678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 ARTHURIUM AVE",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334623431",
            "telephone_number": "561-503-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 ARTHURIUM AVE",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334623431",
            "telephone_number": "561-503-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "ROBERSON",
        "name_prefix": "Mr.",
        "credential": "R.T., R.D.M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "FL",
            "license": "CRT 33569",
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "FL",
            "license": "37218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Proper Medical Supply LLC
• Publix Super Markets Inc
• Purity Sourcing LLC
• Jeneene Rene Rahal
• Maria Del Carmen Ramirez Sanchez
• Recovery Outcomes Institute, Inc.
• Recovery Restart LLC
• Recreate Life Wellness Group LLC
• Renaissance Recovery Florida LLC
• Rose Laure Louis Resius

• Radiography Radiologic Technologist in Lantana, FL
• Providers in Lantana, FL by specialty
• Radiography Radiologic Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.