Organization
SOUTH FLORIDA MEDICAL IMAGING, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RUSH MD (PRESIDENT)
(954) 636-2290
Entity
Organization
Contact information
Practice address
4725 N FEDERAL HWY, FT LAUDERDALE, FL 33308-4603
(954) 202-0277
Mailing address
PO BOX 11398, FORT LAUDERDALE, FL 33339-1398
(844) 215-3267
(772) 621-3180
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375943106
—
FL
Enumeration date
01/09/2006
Last updated
08/03/2021
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