Precise Diagnostic Imaging of Brandon

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME40704 Issued in FL

Legal business name

PRECISE DIAGNOSTIC IMAGING OF BRANDON

Practice address

1111 Oakfield Dr Ste 103
Brandon, FL 33511-4948

Phone

(863) 661-5866

NPI assigned

Oct 25, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Siegfried K Holz, DMNPI 1932388915

Title

President

Phone

(863) 646-8955

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SIEGFRIED K HOLZ MD PA Other name

Tax ID family

Precise Diagnostic Imaging of Riverview5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Precise Diagnostic Imaging of Riverview

  • Specialist
  • Riverview, FL
  • NPI 1417141581
  NPD tax ID
• Siegfried K Holz MD PA

  dba Lakeland Open MRI

  • Specialist
  • Lakeland, FL
  • NPI 1922186121
  NPD tax ID
• Sun City Center Open MRI

  • Specialist
  • Ruskin, FL
  • NPI 1245319508
  NPD tax ID
• Tampa Bay Open MRI (Tampa)

  • Specialist
  • Tampa, FL
  • NPI 1962586628
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Siegfried Karl Holz, M.D.

  • Diagnostic Radiology Physician
  • Lakeland, FL
  • NPI 1932388915

  Specialist

  NPD (past) Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1215011994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 OAKFIELD DR STE 103",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114948",
            "telephone_number": "863-661-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 OAKFIELD DR STE 103",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114948",
            "telephone_number": "863-661-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE DIAGNOSTIC IMAGING OF BRANDON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HOLZ",
        "authorized_official_first_name": "SIEGFRIED",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-646-8955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DM"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME40704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "V2921",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2376427",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIEGFRIED K HOLZ MD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Brandon, FL
• Providers in Brandon, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.