Open MRI of SW Florida Inc

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

HCC7684 Issued in FL

Legal business name

OPEN MRI OF SW FLORIDA INC

Practice address

12995 S Cleveland Ave
182
Fort Myers, FL 33907-3890

Phone

(239) 936-3332

Fax

(239) 936-9557

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Leandro A Feliz

Title

President

Phone

(239) 936-3332

Specialties & licenses 1

Addresses

Other names 1

• OPEN MRI OF LEE COUNTY Doing business as

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1649474735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12995 S CLEVELAND AVE",
            "address_2": "182",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073890",
            "telephone_number": "239-936-3332",
            "fax_number": "239-936-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12995 S CLEVELAND AVE",
            "address_2": "182",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073890",
            "telephone_number": "239-936-3332",
            "fax_number": "239-936-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF SW FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "FELIZ",
        "authorized_official_first_name": "LEANDRO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-936-3332",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "HCC7684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPEN MRI OF LEE COUNTY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center 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.