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Organization

NATIONAL P.E.T. SCAN DADE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA ROJAS (CEO)
(305) 455-3000
Entity
Organization

Contact information

Practice address
7867 N KENDALL DR STE 121, MIAMI, FL 33156-7735
(305) 455-3000
(305) 455-2065
Mailing address
7867 N KENDALL DR STE 121, MIAMI, FL 33156-7735
(305) 455-3000
(305) 455-2065

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
261QR0200X
Radiology Clinic/Center
Primary
HCC5689
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
196701
WELLCARE
FL
01
2845084-001
CIGNA
FL
01
38829
NEIGHBORHOOD HEALTH
FL
01
593688943
TRICARE
FL
01
67830
FOUNDATION HEALTH
FL
01
CK2452
MEDICARE RAILROAD RETIREM
FL
01
SG011169
VISTA HEALTH
FL
01
V2273
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
05/24/2005
Last updated
09/07/2025
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