Organization
SUNCOAST DIAGNOSTIC IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUY WILLIAM AZZINARO RDMS RVT RDCS (PRESIDENT OWNER)
(954) 473-1363
Entity
Organization
Contact information
Practice address
1821 BEL AIR AVE, POMPANO BEACH, FL 33062-7672
(954) 473-1363
(954) 382-2136
Mailing address
1821 BEL AIR AVE, POMPANO BEACH, FL 33062-7672
(954) 473-1363
(954) 382-2136
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1064254
CAREPLUS
FL
01
—
1168469
COVENTRY
FL
01
—
304365
AVMED
FL
01
—
3540603
AETNA
FL
01
—
65-689588
TRICARE
FL
01
—
7021200
SUNCOAST PHYS HEALTH PLAN
FL
01
—
73526557
AENTA
FL
01
—
P00279207
RAILROAD MEDICARE
FL
01
—
SG080951
VISTA
FL
01
—
V2851
BCBC OF FLORIDA
FL
01
—
V2851
BLUE CROSS BLUE SHEILD
—
Enumeration date
10/31/2006
Last updated
07/21/2022
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