| Diversity Mri LLC | |
|
801 S University Dr Ste K103a Plantation FL 33324-3367 | |
| (954) 905-7217 | |
| (954) 905-7217 |
| Full Name | Diversity Mri LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 S University Dr Ste K103a, Plantation, Florida |
| Authorized Official Name and Position | Joshua a Ruskin (OWNER) |
| Authorized Official Contact | 9543472242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversity Mri LLC 801 S University Dr Ste K103a Plantation FL 33324-3367 Ph: (954) 905-7217 | Diversity Mri LLC 801 S University Dr Ste K103a Plantation FL 33324-3367 Ph: (954) 905-7217 |
| NPI Number | 1346746179 |
|---|---|
| Provider Enumeration Date | 04/02/2018 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/21/2024 |
| Medicare PECOS PAC ID | 6901262534 |
|---|---|
| Medicare Enrollment ID | O20230523003118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346746179 | NPI | - | NPPES |
| 121391600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | L17000172498 (Florida) | Secondary |
| 261QM1200X | Clinic/center - Magnetic Resonance Imaging (mri) | L17000172498 (Florida) | Primary |
John W N Foster MD PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Nw 82nd Ave Ste 305, Plantation, FL 33324 Phone: 954-473-0089 Fax: 954-473-2067 |
Physicians Care Clinic LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 S Hospital Dr, Suite #111, Plantation, FL 33317 Phone: 954-585-1996 Fax: 954-785-1998 |
Cardiology and Geriatrics Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6738 W Sunrise Blvd Ste 101, Plantation, FL 33313 Phone: 754-778-6706 Fax: 754-778-6935 |
Doh Broward County Public Health Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 S Hospital Dr, Suite 309, Plantation, FL 33317 Phone: 954-327-5993 Fax: 954-321-3763 |
Pallavi Aneja MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Nw 82nd Ave Ste 105, Plantation, FL 33324 Phone: 312-402-3358 Fax: 727-781-3200 |
Rmed LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1776 N Pine Island Rd Ste 106, Plantation, FL 33322 Phone: 954-376-3739 Fax: 844-407-9213 |