Organization
NORTH BROWARD RADIOLOGISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHIE HEATH (EXECUTIVE DIRECTOR)
(407) 310-7997
Entity
Organization
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 355-5500
Mailing address
6330 N ANDREWS AVE STE 299, FORT LAUDERDALE, FL 33309-2130
(954) 839-8080
(954) 839-8401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060287600
—
FL
01
—
CM0256
RAILROAD MEDICARE
FL
Enumeration date
12/03/2005
Last updated
09/24/2021
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