Active NPI
Florida United Radiology LC
- Diagnostic Radiology Physician
- Port St Lucie, FL
National Provider Identifier
1407014269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- FLORIDA UNITED RADIOLOGY LC
- Practice address
- 1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521 - Phone
- (954) 838-2371
- NPI assigned
- May 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Kondas
- Title
- Officer
- Phone
- (973) 251-1132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521
Mailing address
PO Box 19510
Fort Lauderdale, FL 33318-0510
Phone (954) 838-2371
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625702400000",
"number": "1407014269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19510",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333180510",
"telephone_number": "954-838-2371",
"fax_number": "954-851-1758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SE TIFFANY AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527521",
"telephone_number": "954-838-2371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA UNITED RADIOLOGY LC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-29",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A",
"authorized_official_last_name": "KONDAS",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "973-251-1132"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
- Florida Medical Center
- Florida Orthopedics and Neurosurgery LLC
- Florida Pain & Rehabilitation Institute Inc
- Florida Psychiatry Associates LLC
- Florida Spine and Disc Center, Inc.
- Florida Vision Institute, Inc.
- Florida West Home Care Inc
- Florida West Home Care, Inc
- Florida West Home Care, Inc.
- Florida Woman Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.