National P E T Scan Broward LLC

Organization Deactivated
NPI 1194728014
Radiology Clinic/Center Ft Lauderdale, FL

National P E T Scan Broward LLC holds NPI 1194728014, with a primary taxonomy of radiology clinic/center and a practice location in Ft Lauderdale, FL. The number was issued on May 24, 2005 and the NPPES record was last updated on December 5, 2012. This NPI was deactivated on October 27, 2026.

This record hasn't been updated in NPPES since 2012. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Radiology Clinic/Center Primary 261QR0200X HCC5688 (FL)

Practice location

6290 N Federal Hwy
Ft Lauderdale, FL 33308-1917
Phone: (954) 332-3000

Record history

Status
Deactivated
NPI issued
Last updated in NPPES
Deactivated

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NPPES data as of · Source: CMS NPPES

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