Provider Demographics
NPI:1184681181
Name:NAVIX IMAGING INC
Entity Type:Organization
Organization Name:NAVIX IMAGING INC
Other - Org Name:SW FLORIDA REGIONAL IMG CENTER - AMC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MILES
Authorized Official - Middle Name:E
Authorized Official - Last Name:GILMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-665-1197
Mailing Address - Street 1:2852 TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:PT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-5125
Mailing Address - Country:US
Mailing Address - Phone:941-629-9729
Mailing Address - Fax:941-637-3873
Practice Address - Street 1:2852 TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:PT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-5125
Practice Address - Country:US
Practice Address - Phone:941-629-9729
Practice Address - Fax:941-637-3873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC41102085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00079249OtherRAILROAD MEDICARE
FLV2371OtherBSFL
FLP00079249OtherRAILROAD MEDICARE