Organization Active NPI

South Florida Nuclear Medicine

  • Radiology Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1770579138
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
ME19375 Issued in FL
Legal business name
SOUTH FLORIDA NUCLEAR MEDICINE
Practice address
1599 NW 9TH Ave
204
Boca Raton, FL 33486-1310
Phone
(561) 750-8965
NPI assigned
Sep 21, 2005
Last updated
Jan 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Norman Henry Pevsner, M.D.
Title
Owner
Phone
(561) 750-8965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X ME19375 FL Primary

Addresses

Primary practice location

1599 NW 9TH Ave
204
Boca Raton, FL 33486-1310

Mailing address

1599 NW 9TH Ave
204
Boca Raton, FL 33486-1310

National Provider Directory

National Provider Directory

Locations

1599 NW 9th Ave
Ste 204
Boca Raton, FL 33486
Phone (561) 750-8965

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1770579138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 NW 9TH AVE",
            "address_2": "204",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 NW 9TH AVE",
            "address_2": "204",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861310",
            "telephone_number": "561-750-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA NUCLEAR MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "PEVSNER",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-750-8965",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "ME19375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

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