Organization Active NPI

Physicians Imaging Center of Florida LLC

  • Diagnostic Radiology Physician
  • Hollywood, FL
National Provider Identifier
1427187459
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
HCC6490 Issued in FL
Legal business name
PHYSICIANS IMAGING CENTER OF FLORIDA LLC
Practice address
3800 Johnson Street
Suite B
Hollywood, FL 33021
Phone
(854) 964-3800
Fax
(516) 320-8952
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Dr. Herbert Louis Shick, MD
Title
Medical Director
Phone
(954) 964-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X HCC6490 FL Primary

Addresses

Primary practice location

3800 Johnson Street
Suite B
Hollywood, FL 33021

Mailing address

300 Jericho Quadrangle West
Suite 320
Jericho, NY 11753
Phone (516) 874-8108

National Provider Directory

National Provider Directory

Locations

3800 Johnson St
Ste B
Hollywood, FL 33021
Phone (954) 964-3800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1427187459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JERICHO QUADRANGLE WEST",
            "address_2": "SUITE 320",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "11753",
            "telephone_number": "516-874-8108",
            "fax_number": "516-320-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 JOHNSON STREET",
            "address_2": "SUITE B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "854-964-3800",
            "fax_number": "516-320-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS IMAGING CENTER OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "SHICK",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-964-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC6490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.