Suncoast Medical Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME64815 Issued in FL

Legal business name

SUNCOAST MEDICAL IMAGING LLC

Practice address

2700 N 29TH Ave
Unit 303a
Hollywood, FL 33020-1520

Phone

(304) 549-5310

Fax

(606) 644-0444

NPI assigned

Feb 27, 2014

Organization subpart

No

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

Authorized official

Name

Joseph L Skeens, MD

Title

President

Phone

(304) 549-5310

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1386069375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9822 TREE TOPS LAKE RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264764",
            "telephone_number": "304-549-5310",
            "fax_number": "606-644-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N 29TH AVE",
            "address_2": "UNIT 303A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201520",
            "telephone_number": "304-549-5310",
            "fax_number": "606-644-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "SKEENS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-549-5310",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME64815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Elizabeth Sullivan, RN
• Peter Sullivan, M.D.
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• Constance Sumpter
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• Sundance Rehab
• Sundance Rehabilitation Agency Inc
• Sunny Days Assisted Living Facility LLC
• Sunny Days of Broward CMHC, Inc.
• Sunny Isles Health Center, Inc.

• Diagnostic Radiology Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.