Organization Active NPI

South Florida Nuclear Medicine PA

  • Radiology Clinic/Center
  • Miami, FL
National Provider Identifier
1376724203
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SOUTH FLORIDA NUCLEAR MEDICINE PA
Practice address
290 NW 165TH St
L-103
Miami, FL 33169-6482
Phone
(813) 496-1075
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Norman Henry Pevsner, MD
Title
President
Phone
(813) 496-1075

Specialties & licenses 1

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

Addresses

Primary practice location

290 NW 165TH St
L-103
Miami, FL 33169-6482

Mailing address

290 NW 165TH St
L-103
Miami, FL 33169-6482
Phone (813) 496-1075

Other names 1

  • North Miami Nuclear Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

2500 N Military Trl
Ste 125
Boca Raton, FL 33431
Phone (561) 495-4186

4800 Linton Blvd
Ste F101
Delray Beach, FL 33445
Phone (561) 381-2300

290 NW 165th St
Ste L103
North Miami Beach, FL 33169
Phone (305) 944-6707

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1376724203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 NW 165TH ST",
            "address_2": "L-103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696482",
            "telephone_number": "813-496-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 NW 165TH ST",
            "address_2": "L-103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696482",
            "telephone_number": "813-496-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA NUCLEAR MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "PEVSNER",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-496-1075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Miami Nuclear Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.