Organization
BROWARD PET IMAGING CENTER LLC
Active
Organization
BROWARD PET IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD A DAUER (MANAGING MEMBER)
(954) 739-0978
Entity
Organization
Contact information
Practice address
4850 WEST OAKLAND PARK BLVD, SUITE 1A, LAUDERDALE LAKES, FL 33313
(954) 735-6330
(975) 739-1924
Mailing address
4850 WEST OAKLAND PARK BLVD, SUITE 1A, LAUDERDALE LAKES, FL 33313
(954) 735-6330
(975) 739-1924
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264327800
—
FL
Enumeration date
03/23/2006
Last updated
07/11/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up