Organization
PROMED IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR FELICETTI (OWNER)
(561) 210-7669
Entity
Organization
Contact information
Practice address
15495 EAGLE NEST LN STE 130, MIAMI LAKES, FL 33014-2242
(305) 901-7199
Mailing address
15495 EAGLE NEST LN STE 130, MIAMI LAKES, FL 33014-2242
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC12062
AHCA
—
Enumeration date
02/07/2020
Last updated
08/25/2023
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