Organization
NAVIX IMAGING INC
Active
Other names
Kissimmee Outpatient Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILES E GILMAN (PRESIDENT)
(305) 665-1197
Entity
Organization
Contact information
Practice address
1503 W OAK ST, KISSIMMEE, FL 34741-4065
(407) 847-8864
(407) 847-5137
Mailing address
1503 W OAK ST, KISSIMMEE, FL 34741-4065
(407) 847-8864
(407) 847-5137
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
HCC4112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00079249
RAILROAD MEDICARE
FL
01
—
V2557
BSFL
FL
Enumeration date
05/22/2006
Last updated
02/06/2008
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