Provider Demographics
NPI:1285688127
Name:NAVIX IMAGING INC
Entity Type:Organization
Organization Name:NAVIX IMAGING INC
Other - Org Name:KISSIMMEE OUTPATIENT CENTER
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 1:1503 W OAK ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4065
Mailing Address - Country:US
Mailing Address - Phone:407-847-8864
Mailing Address - Fax:407-847-5137
Practice Address - Street 1:1503 W OAK ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4065
Practice Address - Country:US
Practice Address - Phone:407-847-8864
Practice Address - Fax:407-847-5137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC41122085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV2557OtherBSFL
FLP00079249OtherRAILROAD MEDICARE
FLP00079249OtherRAILROAD MEDICARE