Highlands Breast & Imaging Center LLC
Organization Active NPI Diagnostic Radiology Physician · Sebring, FL
NPI 1356322754 · NPPES record last updated May 29, 2008
Key facts
- NPI
- 1356322754
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- HIGHLANDS BREAST & IMAGING CENTER LLC
- Practice address
- 115 Medical Center Ave
Sebring, FL 33870-5423 - Phone
- (863) 385-6655
- Fax
- (863) 385-2282
- NPI assigned
- Nov 11, 2005
- Organization subpart
- No
Authorized official
- Name
- Patrick A. Carruthers, M.D.
- Title
- President
- Phone
- (863) 385-6655
Practitioners 2
-
Ryan Joseph Polselli, M.D.
-
Richard Anthony Amato, M.D.
National Provider Directory
Locations
114 Medical Center Ave
#115
Sebring, FL 33870
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
115 Medical Center Ave
Sebring, FL 33870-5423
Mailing address
PO Box 144333
Orlando, FL 32814-4333
Phone (407) 422-9831
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB4926 | Other | RAILROAD MEDICARE | |
| V3136 | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
Other providers in Sebring, FL
- Highland ABA Therapy LLC
- Highland County Home Care LLC
- Highland County School Board
- Highland County School Board
- Highlands Anesthesia LLC
- Highlands Comprehensive Critical Care, LLC
- Highlands County Board of County Commissioners
- Highlands County Community Coalition for Substance Abuse Education
- Highlands County School Board
- Highlands County School Board
All providers in Sebring, FL · Diagnostic Radiology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.