Semper Fi Teleradiology LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME82826 Issued in FL

Legal business name

SEMPER FI TELERADIOLOGY LLC

Practice address

13731 Metropolis Ave
Fort Myers, FL 33912

Phone

(239) 333-2482

Fax

(239) 333-2481

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Saurin J Shah, MD

Title

MD/Partner

Phone

(239) 333-2482

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1497932511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13731 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-333-2482",
            "fax_number": "239-333-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13731 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-333-2482",
            "fax_number": "239-333-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMPER FI TELERADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SAURIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD/PARTNER",
        "authorized_official_telephone_number": "239-333-2482",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME82826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNERS MEDICAL LICENSE",
            "identifier": "ME82826",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Seltzer, D.O.
• Nemalan Selvaraj, D.O.
• Jeffrey Ronald Semak, ARNP
• Delaney Nicole Semancik, PA
• Roderick Nubla Sembrano
• Evan Michael Sendrow, LCSW
• Ivo C Seni, MD
• Senior Friendship Centers
• Senior Friendship Centers
• Senior Friendship Centers

• Diagnostic Radiology Physician in Fort Myers, FL
• Providers in Fort Myers, 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 Jan 31, 2008; 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.