Knobloch Radiology LLC

Primary specialty

Nuclear Radiology PhysicianTaxonomy code 2085N0904X

License

ME61946 Issued in FL

Legal business name

KNOBLOCH RADIOLOGY LLC

Practice address

2600 Williams Island Blvd Apt 1106
Aventura, FL 33160-5209

Phone

(305) 787-5707

Fax

(954) 753-7972

NPI assigned

May 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Enrique Knobloch, MDNPI 1801834254

Title

Medical Director

Phone

(305) 787-5707

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Enrique Knobloch, M.D.

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1801834254
  NPD (past) Authorized official

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1578052817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 WILLIAMS ISLAND BLVD APT 1106",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331605209",
            "telephone_number": "305-787-5707",
            "fax_number": "954-753-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WILLIAMS ISLAND BLVD APT 1106",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331605209",
            "telephone_number": "305-787-5707",
            "fax_number": "954-753-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOBLOCH RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "KNOBLOCH",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-787-5707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": "FL",
            "license": "ME61946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "ME61946",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Dias Klein
• Stella Kleynberg, M.S.
• Boris V Klopukh, MD
• Kloutis Urgent Care LLC.
• Alex Michael Kneller, DO
• Enrique Knobloch, M.D.
• Steven Kobrin, MD
• Kseniia Kogan, RMHCI
• Rhea Kohli
• Mary Kollias-Greber, PSY.D.

• Nuclear Radiology Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Nuclear Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.